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DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC
DRS. TIDWELL, FAULKS, AND ALLEN - OPTOMETRY, PLLC
NPI: 1194920967
· DICKSON, TN 37055
· Optometrist
· NPI assigned 06/20/2007
$157K
Total Medicaid Paid
3,487
Beneficiary Records
Provider Details
| Authorized Official | MILLER, JAMIE (CERTIFIED INSURANCE TECH AND DATA E) |
| NPI Enumeration Date | 06/20/2007 |
Related Entities
Other providers sharing the same authorized official: MILLER, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$2K |
| 2019 |
400 |
$18K |
| 2020 |
265 |
$12K |
| 2021 |
497 |
$21K |
| 2022 |
438 |
$20K |
| 2023 |
1,013 |
$46K |
| 2024 |
879 |
$38K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
844 |
827 |
$53K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
449 |
444 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
826 |
807 |
$23K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
247 |
246 |
$22K |
| V2020 |
Frames, purchases |
845 |
828 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
299 |
295 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
26 |
$427.54 |
| 92015 |
Determination of refractive state |
14 |
14 |
$260.00 |