NPI: 1801070602 · GARLAND, TX 75040 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,447 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 175 | 156 | $7K |
| S0621 | Routine ophthalmological exa | 183 | 142 | $7K |
| V2020 | Vision svcs frames purchases | 261 | 242 | $5K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 365 | 192 | $3K |
| 92015 | 423 | 354 | $289.14 | |
| V2784 | Lens polycarb or equal | 16 | 16 | $0.00 |
| 92004 | 12 | 12 | $0.00 | |
| 92014 | 12 | 12 | $0.00 |