NPI: 1770552176 · TOMBALL, TX 77375 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 441 | $10K |
| 2021 | 587 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 268 | 255 | $11K |
| V2020 | Vision svcs frames purchases | 316 | 297 | $4K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 172 | 167 | $3K |
| S0621 | Routine ophthalmological exa | 66 | 55 | $2K |
| V2784 | Lens polycarb or equal | 193 | 184 | $2K |
| V2750 | Anti-reflective coating | 13 | 13 | $338.78 |