STANDARD OPTICAL CO
NPI: 1114377165
· SOUTH JORDAN, UT 84009
· Optometrist
· NPI assigned 06/20/2016
Provider Details
Related Entities
Other providers sharing the same authorized official: SCHUBACH, STEPHEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12 |
$0.00 |
| 2019 |
18 |
$0.00 |
| 2020 |
120 |
$3K |
| 2021 |
371 |
$12K |
| 2022 |
287 |
$8K |
| 2023 |
369 |
$3K |
| 2024 |
47 |
$121.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
211 |
210 |
$18K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
63 |
$5K |
| V2020 |
Frames, purchases |
208 |
207 |
$2K |
| 92015 |
Determination of refractive state |
495 |
491 |
$1K |
| V2755 |
U-v lens, per lens |
157 |
156 |
$340.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
62 |
62 |
$295.31 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
27 |
$49.96 |