NPI: 1750306585 · LEWISVILLE, TX 75067 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 70 | $1K |
| 2021 | 828 | $17K |
| 2022 | 1,252 | $35K |
| 2023 | 158 | $3K |
| 2024 | 233 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 353 | 350 | $18K |
| S0621 | Routine ophthalmological exa | 320 | 313 | $16K |
| V2020 | Vision svcs frames purchases | 406 | 404 | $13K |
| V2100 | Lens spher single plano 4.00 | 423 | 418 | $9K |
| 92004 | 44 | 44 | $4K | |
| 92015 | 194 | 188 | $993.04 | |
| V2750 | Anti-reflective coating | 344 | 342 | $725.65 |
| V2784 | Lens polycarb or equal | 457 | 454 | $464.00 |