NPI: 1295397016 · CORDOVA, TN 38016 · Optometrist · NPI assigned 07/01/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 152 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25 | 24 | $960.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 28 | 27 | $390.00 |
| V2020 | Frames, purchases | 35 | 34 | $340.00 |
| 92015 | Determination of refractive state | 26 | 25 | $175.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 38 | 37 | $118.00 |