NPI: 1730259227 · PAYSON, AZ 85541 · Optometrist · NPI assigned 11/09/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 87 | $5K |
| 2020 | 350 | $17K |
| 2021 | 58 | $4K |
| 2024 | 42 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 140 | 128 | $10K |
| V2020 | Frames, purchases | 127 | 116 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 72 | 70 | $8K |
| 92015 | Determination of refractive state | 184 | 166 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14 | 13 | $562.02 |