NPI: 1720760713 · AMARILLO, TX 79107 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 783 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 90 | 89 | $11K | |
| 92014 | 84 | 84 | $8K | |
| V2025 | Eyeglasses delux frames | 127 | 127 | $7K |
| V2100 | Lens spher single plano 4.00 | 189 | 146 | $4K |
| 92015 | 168 | 167 | $3K | |
| V2020 | Vision svcs frames purchases | 44 | 44 | $831.37 |
| S0620 | Routine ophthalmological exa | 12 | 12 | $640.00 |
| S0621 | Routine ophthalmological exa | 12 | 12 | $615.00 |
| V2784 | Lens polycarb or equal | 57 | 57 | $456.00 |