NPI: 1386209427 · CYPRESS, CA 90630 · Optometrist · NPI assigned 05/03/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 456 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 167 | 167 | $7K |
| V2020 | Frames, purchases | 53 | 53 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 53 | 53 | $701.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 13 | $323.44 |
| 92015 | Determination of refractive state | 170 | 170 | $20.07 |