NPI: 1598899379 · TEXARKANA, TX 75503 · Optometrist · NPI assigned 03/15/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 236 | $2K |
| 2023 | 48 | $772.08 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 74 | 74 | $2K |
| V2020 | Frames, purchases | 73 | 73 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16 | 16 | $104.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 66 | 66 | $0.00 |
| 92015 | Determination of refractive state | 55 | 55 | $0.00 |