EYEWEAR GALLERY
NPI: 1588029938
· DE WITT, IA 52742
· Optometrist
· NPI assigned 12/29/2015
Provider Details
| Authorized Official | BRIGGS, SUSAN (OFFICE MANAGER) |
| NPI Enumeration Date | 12/29/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
290 |
$10K |
| 2020 |
189 |
$7K |
| 2021 |
271 |
$11K |
| 2022 |
221 |
$10K |
| 2023 |
112 |
$6K |
| 2024 |
30 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
534 |
460 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
112 |
102 |
$10K |
| V2020 |
Frames, purchases |
225 |
213 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$338.57 |
| V2756 |
Eye glass case |
185 |
176 |
$170.23 |
| 99072 |
|
45 |
38 |
$0.00 |