NPI: 1487726568 · FREDERICKSBURG, TX 78624 · Optometrist · NPI assigned 11/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 66 | $0.00 |
| 2023 | 57 | $1K |
| 2024 | 151 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2025 | Deluxe frame | 60 | 60 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 104 | 104 | $2K |
| V2020 | Frames, purchases | 28 | 28 | $555.31 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16 | 16 | $273.56 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 50 | 46 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 16 | 14 | $0.00 |