NPI: 1942604491 · EULESS, TX
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 241 | $6K |
| 2022 | 66 | $3K |
| 2023 | 20 | $525.00 |
| 2024 | 110 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 211 | 187 | $8K |
| V2020 | Frames, purchases | 94 | 89 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 62 | 60 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 57 | 55 | $352.00 |
| V2750 | Anti-reflective coating, per lens | 13 | 12 | $0.00 |