NPI: 1861552390 · MESQUITE, TX 75150 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 48 | $2K |
| 2021 | 516 | $18K |
| 2022 | 70 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 76 | 75 | $8K | |
| 92004 | 38 | 38 | $5K | |
| 92015 | 297 | 291 | $4K | |
| V2020 | Vision svcs frames purchases | 134 | 130 | $3K |
| S0620 | Routine ophthalmological exa | 19 | 17 | $738.50 |
| V2103 | Spherocylindr 4.00d/12-2.00d | 26 | 26 | $646.88 |
| 99214 | 14 | 13 | $569.80 | |
| S0621 | Routine ophthalmological exa | 14 | 14 | $525.00 |
| V2100 | Lens spher single plano 4.00 | 16 | 14 | $298.56 |