NPI: 1912991415 · PLANO, TX 75074 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 65 | $2K |
| 2019 | 44 | $1K |
| 2020 | 835 | $24K |
| 2023 | 1,062 | $22K |
| 2024 | 82 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Vision svcs frames purchases | 733 | 722 | $16K |
| S0620 | Routine ophthalmological exa | 383 | 238 | $11K |
| S0621 | Routine ophthalmological exa | 281 | 234 | $11K |
| V2100 | Lens spher single plano 4.00 | 255 | 252 | $6K |
| V2103 | Spherocylindr 4.00d/12-2.00d | 189 | 181 | $4K |
| V2784 | Lens polycarb or equal | 203 | 203 | $1K |
| 92004 | 15 | 15 | $1K | |
| 92015 | 29 | 29 | $451.94 |