NPI: 1871059170 · TEXARKANA, TX 75503 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 6,670 | $99K |
| 2022 | 27,371 | $390K |
| 2023 | 16,797 | $243K |
| 2024 | 9,225 | $138K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 8,091 | 6,918 | $238K |
| S0621 | Routine ophthalmological exa | 7,909 | 6,570 | $217K |
| V2100 | Lens spher single plano 4.00 | 22,087 | 13,876 | $183K |
| V2020 | Vision svcs frames purchases | 8,797 | 7,456 | $92K |
| V2784 | Lens polycarb or equal | 10,280 | 8,573 | $91K |
| V2025 | Eyeglasses delux frames | 2,607 | 2,260 | $47K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 110 | 64 | $633.18 |
| 92250 | 12 | 12 | $327.54 | |
| 92014 | 14 | 14 | $18.75 | |
| 92015 | 144 | 113 | $0.00 | |
| 92340 | 12 | 12 | $0.00 |