NPI: 1760794242 · FRISCO, TX 75033 · 152WP0200X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 60 | $2K |
| 2021 | 839 | $22K |
| 2022 | 1,020 | $33K |
| 2023 | 978 | $34K |
| 2024 | 233 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 364 | 332 | $29K | |
| V2020 | Vision svcs frames purchases | 766 | 715 | $19K |
| 92015 | 837 | 790 | $11K | |
| V2103 | Spherocylindr 4.00d/12-2.00d | 536 | 514 | $10K |
| 92012 | 94 | 93 | $6K | |
| 92083 | 115 | 108 | $5K | |
| 92250 | 81 | 78 | $4K | |
| S0621 | Routine ophthalmological exa | 77 | 73 | $4K |
| S0620 | Routine ophthalmological exa | 90 | 89 | $4K |
| 92004 | 28 | 27 | $3K | |
| 92133 | 31 | 31 | $1K | |
| V2750 | Anti-reflective coating | 16 | 12 | $301.00 |
| V2784 | Lens polycarb or equal | 95 | 89 | $39.00 |