FOURTH OPTOMETRIC CARE OF CALIFORNIA
NPI: 1417627944
· ORANGE, CA 92868
· Optometrist
· NPI assigned 09/16/2021
$785.13
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HARRISON, BRITTANY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
448 |
$0.00 |
| 2024 |
2,789 |
$785.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
924 |
924 |
$230.16 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
743 |
743 |
$213.29 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
338 |
338 |
$213.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
385 |
385 |
$71.00 |
| 92015 |
Determination of refractive state |
770 |
770 |
$57.68 |
| 92341 |
|
77 |
77 |
$0.00 |