OPTOMETRY CLINIC, PC
NPI: 1225686827
· KENMARE, ND 58746
· Optometrist
· NPI assigned 08/28/2019
Provider Details
| Authorized Official | GUSTAFSON, TESHA (OWNER/OPTOMETRIST) |
| NPI Enumeration Date | 08/28/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
247 |
$4K |
| 2021 |
165 |
$3K |
| 2022 |
89 |
$2K |
| 2023 |
79 |
$1K |
| 2024 |
102 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
553 |
344 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
62 |
40 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
50 |
24 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
17 |
14 |
$502.18 |