NPI: 1235427089 · RAYTOWN, MO 64133 · Optometrist · NPI assigned 07/14/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 232 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25 | 25 | $1K |
| V2020 | Frames, purchases | 56 | 56 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 58 | 58 | $780.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12 | 12 | $624.09 |
| 92015 | Determination of refractive state | 81 | 81 | $414.20 |