NPI: 1407861834 · SOUTHAVEN, MS 38671 · Optometrist · NPI assigned 07/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 271 | $7K |
| 2019 | 84 | $2K |
| 2020 | 227 | $6K |
| 2021 | 29 | $761.77 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 298 | 280 | $7K |
| V2020 | Frames, purchases | 165 | 155 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28 | 28 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 26 | 26 | $716.75 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 12 | $389.80 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 81 | 39 | $0.00 |