NPI: 1912040064 · WACO, TX 76710 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 151 | $3K |
| 2021 | 873 | $13K |
| 2022 | 918 | $15K |
| 2023 | 1,026 | $18K |
| 2024 | 666 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2103 | Spherocylindr 4.00d/12-2.00d | 868 | 833 | $19K |
| V2025 | Eyeglasses delux frames | 813 | 778 | $19K |
| V2020 | Vision svcs frames purchases | 577 | 554 | $11K |
| V2784 | Lens polycarb or equal | 1,162 | 1,122 | $7K |
| V2104 | Spherocylindr 4.00d/2.12-4d | 147 | 145 | $3K |
| V2100 | Lens spher single plano 4.00 | 13 | 13 | $230.86 |
| V2750 | Anti-reflective coating | 54 | 52 | $17.21 |