NPI: 1760951107 · RAPID CITY, SD 57701 · Vision Therapy Optometrist · NPI assigned 11/14/2018
| Authorized Official | RANDOLPH, ANTWAN (OWNER) |
| NPI Enumeration Date | 11/14/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 699 | $46K |
| 2022 | 531 | $35K |
| 2023 | 483 | $24K |
| 2024 | 287 | $16K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 848 | 846 | $105K |
| 92015 | Determination of refractive state | 1,093 | 1,075 | $12K |
| V2020 | Frames, purchases | 14 | 13 | $1K |
| V2199 | Not otherwise classified, single vision lens | 14 | 12 | $792.00 |
| 92250 | 17 | 15 | $475.02 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14 | 14 | $109.66 |