NPI: 1740768605 · JACKSBORO, TN 37757 · Optometrist · NPI assigned 08/02/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 49 | $257.00 |
| 2020 | 141 | $600.00 |
| 2021 | 155 | $697.00 |
| 2022 | 151 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 139 | 136 | $1K |
| 92015 | Determination of refractive state | 28 | 27 | $154.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 140 | 137 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 41 | 40 | $0.00 |
| V2020 | Frames, purchases | 148 | 145 | $0.00 |