NPI: 1659007862 · TRINITY, FL 34655 · Optometrist · NPI assigned 07/29/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 200 | $4K |
| 2024 | 301 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 97 | 95 | $7K |
| V2020 | Frames, purchases | 129 | 123 | $3K |
| 92015 | Determination of refractive state | 199 | 193 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 56 | 54 | $97.50 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 20 | 12 | $0.00 |