NPI: 1821190141 · GARLAND, TX 75041 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $173.40 |
| 2019 | 157 | $4K |
| 2020 | 4,119 | $150K |
| 2021 | 9,701 | $319K |
| 2022 | 3,197 | $100K |
| 2023 | 8,134 | $333K |
| 2024 | 4,403 | $178K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,341 | 3,200 | $270K | |
| 92250 | 5,273 | 5,097 | $216K | |
| V2020 | Vision svcs frames purchases | 7,123 | 6,904 | $201K |
| 92004 | 1,801 | 1,730 | $177K | |
| V2100 | Lens spher single plano 4.00 | 5,561 | 5,347 | $114K |
| 92015 | 4,240 | 4,085 | $45K | |
| S0621 | Routine ophthalmological exa | 498 | 496 | $18K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 730 | 713 | $15K |
| S0620 | Routine ophthalmological exa | 265 | 256 | $11K |
| V2784 | Lens polycarb or equal | 434 | 431 | $8K |
| V2750 | Anti-reflective coating | 338 | 338 | $7K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 119 | 119 | $3K |