NPI: 1275062739 · MARYVILLE, MO 64468 · Optometrist · NPI assigned 06/08/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 785 | $14K |
| 2019 | 745 | $16K |
| 2020 | 125 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 380 | 349 | $17K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 173 | 169 | $8K |
| 92015 | Determination of refractive state | 721 | 679 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 337 | 331 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 22 | 12 | $304.60 |
| V2020 | Frames, purchases | 22 | 12 | $203.00 |