NPI: 1861477267 · DALLAS, TX 75254 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 1,636 | $49K |
| 2021 | 6,103 | $179K |
| 2022 | 8,079 | $264K |
| 2023 | 6,810 | $210K |
| 2024 | 4,351 | $150K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 3,083 | 2,661 | $233K | |
| V2020 | Vision svcs frames purchases | 4,388 | 4,189 | $117K |
| V2100 | Lens spher single plano 4.00 | 4,625 | 4,408 | $96K |
| 92060 | 2,075 | 1,796 | $83K | |
| 92004 | 815 | 716 | $76K | |
| 92250 | 1,375 | 1,191 | $68K | |
| 92015 | 4,676 | 4,094 | $56K | |
| 92082 | 1,597 | 1,441 | $50K | |
| V2784 | Lens polycarb or equal | 3,476 | 3,396 | $43K |
| 92012 | 468 | 425 | $26K | |
| V2025 | Eyeglasses delux frames | 401 | 378 | $5K |