NPI: 1992795934 · SAN ANTONIO, TX 78248 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 28 | $1K |
| 2020 | 136 | $4K |
| 2021 | 751 | $26K |
| 2022 | 803 | $24K |
| 2023 | 1,123 | $36K |
| 2024 | 746 | $21K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2205 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 1,034 | 1,021 | $36K |
| V2025 | Deluxe frame | 1,034 | 1,021 | $31K |
| 92004 | 148 | 144 | $12K | |
| 99336 | 156 | 143 | $11K | |
| 92015 | 862 | 789 | $8K | |
| 99349 | 122 | 99 | $7K | |
| 99309 | 188 | 172 | $7K | |
| 99308 | 30 | 25 | $740.40 | |
| 3072F | 13 | 13 | $0.00 |