EYE BOUTIQUE OF SEDONA, PLLC
NPI: 1669802013
· SEDONA, AZ 86351
· Optometrist
· NPI assigned 11/22/2013
Provider Details
| Authorized Official | CHANG, CAROLYN (SOLE MEMBER) |
| NPI Enumeration Date | 11/22/2013 |
Related Entities
Other providers sharing the same authorized official: CHANG, CAROLYN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
308 |
$7K |
| 2020 |
111 |
$3K |
| 2021 |
193 |
$7K |
| 2024 |
45 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
118 |
101 |
$5K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
48 |
48 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
103 |
87 |
$3K |
| 92015 |
Determination of refractive state |
161 |
147 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
116 |
100 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$2K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
61 |
27 |
$2K |
| 99072 |
|
36 |
35 |
$0.00 |