NPI: 1790235885 · SUGAR LAND, TX
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 20 | $259.50 |
| 2022 | 109 | $2K |
| 2023 | 34 | $522.50 |
| 2024 | 128 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 130 | 115 | $4K |
| V2020 | Frames, purchases | 64 | 62 | $865.62 |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 18 | 18 | $675.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 64 | 62 | $624.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15 | 15 | $290.64 |