NPI: 1063403095 · ANTIOCH, TN 37013 · Optometrist · NPI assigned 10/31/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 290 | $3K |
| 2020 | 383 | $3K |
| 2021 | 15 | $60.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 279 | 271 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 118 | 115 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 279 | 272 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12 | 12 | $230.00 |