NPI: 1588390421 · BURLESON, TX 76028 · Optometrist · NPI assigned 07/25/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 480 | $24K |
| 2024 | 134 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 102 | 101 | $10K |
| 92250 | 158 | 151 | $8K | |
| 92060 | 134 | 128 | $6K | |
| 92015 | Determination of refractive state | 144 | 137 | $2K |
| V2020 | Frames, purchases | 25 | 24 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 25 | 24 | $965.16 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 26 | 25 | $94.00 |