NPI: 1225287444 · FORT MORGAN, CO 80701 · Optometrist · NPI assigned 09/11/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 239 | $16K |
| 2020 | 13 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 136 | 125 | $14K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 33 | 26 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 39 | 25 | $1K |
| V2020 | Frames, purchases | 14 | 13 | $455.00 |
| 92341 | 17 | 13 | $314.40 | |
| 92015 | Determination of refractive state | 13 | 12 | $0.00 |