FOURTH OPTOMETRIC CARE OF CALIFORNIA
NPI: 1427728955
· WESTMINSTER, CA 92683
· Optometrist
· NPI assigned 09/16/2021
$410.12
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 |
369 |
$0.00 |
| 2024 |
1,648 |
$410.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
275 |
275 |
$142.00 |
| V2020 |
Frames, purchases |
557 |
557 |
$115.08 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
195 |
195 |
$71.00 |
| 92015 |
Determination of refractive state |
525 |
525 |
$43.26 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
453 |
453 |
$38.78 |
| 92341 |
|
12 |
12 |
$0.00 |