WAVEFRONT EYECARE & OPTICAL PA
NPI: 1639460629
· PORTLAND, TX 78374
· Optometrist
· NPI assigned 04/25/2011
$561K
Total Medicaid Paid
Provider Details
| Authorized Official | NGUYEN, HAI (OPTOMETRIST) |
| NPI Enumeration Date | 04/25/2011 |
Related Entities
Other providers sharing the same authorized official: NGUYEN, HAI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
799 |
$34K |
| 2021 |
4,007 |
$155K |
| 2022 |
4,025 |
$176K |
| 2023 |
2,887 |
$141K |
| 2024 |
1,276 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,322 |
2,234 |
$205K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,872 |
1,774 |
$194K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,301 |
2,194 |
$60K |
| 92015 |
Determination of refractive state |
4,165 |
3,952 |
$54K |
| V2020 |
Frames, purchases |
2,320 |
2,213 |
$47K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
14 |
14 |
$596.75 |