GRAND TETON EYE & OPTICAL
NPI: 1306983655
· JACKSON, WY 83002
· Optometrist
· NPI assigned 01/30/2007
Provider Details
| Authorized Official | ROBERTS, CHAD (OWNER) |
| NPI Enumeration Date | 01/30/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
116 |
$5K |
| 2019 |
111 |
$3K |
| 2020 |
143 |
$6K |
| 2021 |
268 |
$13K |
| 2022 |
379 |
$15K |
| 2023 |
505 |
$23K |
| 2024 |
191 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
301 |
294 |
$20K |
| V2020 |
Frames, purchases |
237 |
234 |
$16K |
| 92014 |
|
154 |
148 |
$14K |
| 92015 |
|
731 |
696 |
$12K |
| 92340 |
|
277 |
270 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$818.04 |