NPI: 1063526432 · RICHFIELD, UT 84701 · Optometrist · NPI assigned 08/19/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 59 | $444.74 |
| 2019 | 82 | $2K |
| 2020 | 117 | $4K |
| 2021 | 73 | $2K |
| 2022 | 84 | $45.26 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36 | 36 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $2K |
| V2020 | Frames, purchases | 53 | 53 | $242.74 |
| 92015 | Determination of refractive state | 277 | 259 | $240.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 36 | 36 | $45.26 |