NPI: 1851872360 · VICTORIA, TX 77901 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 717 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 124 | 124 | $0.00 |
| V2784 | Lens polycarb or equal | 154 | 154 | $0.00 |
| V2104 | Spherocylindr 4.00d/2.12-4d | 12 | 12 | $0.00 |
| S0620 | Routine ophthalmological exa | 17 | 17 | $0.00 |
| 92015 | 200 | 199 | $0.00 | |
| S0621 | Routine ophthalmological exa | 81 | 81 | $0.00 |
| V2020 | Vision svcs frames purchases | 129 | 129 | $0.00 |