NPI: 1689960601 · SAINT LOUIS, MO 63121 · Pediatric Optometrist · NPI assigned 06/28/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 42 | $706.18 |
| 2019 | 138 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 41 | 36 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 43 | 24 | $792.60 |
| 92015 | Determination of refractive state | 54 | 46 | $581.86 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 30 | 20 | $527.04 |