NPI: 1467834960 · ANTIOCH, TN 37013 · Optometrist · NPI assigned 06/22/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 257 | $2K |
| 2019 | 269 | $4K |
| 2020 | 59 | $661.00 |
| 2021 | 43 | $476.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 242 | 236 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 119 | 116 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 224 | 219 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13 | 13 | $842.05 |
| 92015 | Determination of refractive state | 18 | 18 | $803.68 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12 | 12 | $325.80 |