NPI: 1487008603 · SALEM, UT 84653 · Optometrist · NPI assigned 04/14/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 390 | $8K |
| 2021 | 331 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 126 | 111 | $9K |
| 92015 | Determination of refractive state | 135 | 120 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 119 | 117 | $1K |
| V2020 | Frames, purchases | 128 | 125 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 123 | 90 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 90 | 88 | $332.50 |