PG OPTICAL LLC
NPI: 1447950183
· ROLLA, MO 65401
· Optometrist
· NPI assigned 03/09/2023
Provider Details
| Authorized Official | GARDNER, KEVIN (OWNER) |
| NPI Enumeration Date | 03/09/2023 |
Related Entities
Other providers sharing the same authorized official: GARDNER, KEVIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
411 |
$14K |
| 2024 |
1,374 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
640 |
630 |
$55K |
| V2020 |
Frames, purchases |
102 |
98 |
$5K |
| 92015 |
Determination of refractive state |
644 |
634 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
292 |
290 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
65 |
35 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
30 |
15 |
$900.00 |
| 92341 |
|
12 |
12 |
$60.00 |