NPI: 1407871536 · SANTA FE, NM 87505 · Optometrist · NPI assigned 07/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 119 | $8K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21 | 21 | $4K |
| V2020 | Frames, purchases | 27 | 27 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 27 | 27 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14 | 14 | $753.32 |
| 92015 | Determination of refractive state | 30 | 30 | $210.00 |