NPI: 1710980479 · ALLEN, TX 75013 · 152WC0802X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,209 | $51K |
| 2021 | 3,530 | $104K |
| 2022 | 4,419 | $153K |
| 2023 | 3,278 | $116K |
| 2024 | 2,793 | $96K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 1,457 | 1,426 | $125K | |
| 92012 | 1,753 | 1,429 | $103K | |
| 92250 | 1,088 | 1,053 | $58K | |
| V2020 | Vision svcs frames purchases | 2,231 | 2,130 | $56K |
| 92015 | 3,892 | 3,366 | $51K | |
| 92004 | 503 | 475 | $51K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 1,318 | 1,258 | $27K |
| V2784 | Lens polycarb or equal | 1,842 | 1,768 | $19K |
| 92083 | 310 | 299 | $13K | |
| V2104 | Spherocylindr 4.00d/2.12-4d | 348 | 337 | $7K |
| 68761 | 32 | 13 | $3K | |
| 92285 | 128 | 120 | $2K | |
| 99213 | 49 | 48 | $1K | |
| 92025 | 30 | 28 | $853.24 | |
| 95930 | 15 | 15 | $696.04 | |
| 92133 | 25 | 25 | $631.58 | |
| V2799 | Misc vision item or service | 208 | 200 | $0.00 |