NPI: 1487921276 · PLEASANT GROVE, UT 84062 · Optometrist · NPI assigned 11/21/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 645 | $6K |
| 2024 | 793 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 455 | 220 | $5K |
| V2020 | Frames, purchases | 209 | 202 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 129 | 118 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 172 | 167 | $2K |
| 92015 | Determination of refractive state | 473 | 449 | $329.07 |