NPI: 1932386521 · GRAND PRAIRIE, TX 75051 · 152W00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $498.48 |
| 2020 | 170 | $4K |
| 2021 | 1,072 | $33K |
| 2022 | 780 | $36K |
| 2023 | 258 | $20K |
| 2024 | 152 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological exa | 1,143 | 1,108 | $49K |
| 92004 | 331 | 324 | $28K | |
| V2020 | Vision svcs frames purchases | 225 | 225 | $6K |
| V2100 | Lens spher single plano 4.00 | 235 | 235 | $6K |
| 92014 | 58 | 56 | $5K | |
| 92250 | 82 | 79 | $5K | |
| S0621 | Routine ophthalmological exa | 58 | 57 | $3K |
| 92082 | 71 | 68 | $2K | |
| V2784 | Lens polycarb or equal | 198 | 198 | $1K |
| 92015 | 43 | 43 | $0.00 |