NPI: 1770580755 · SPARTANBURG, SC 29302 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 302 | $7K |
| 2019 | 671 | $20K |
| 2020 | 1,108 | $33K |
| 2021 | 446 | $11K |
| 2022 | 64 | $890.98 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 356 | 349 | $23K | |
| 92250 | 605 | 596 | $21K | |
| 92015 | 752 | 740 | $12K | |
| 92340 | 750 | 742 | $10K | |
| 92004 | 90 | 88 | $7K | |
| V2020 | Frames, purchases | 13 | 13 | $242.50 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12 | 12 | $181.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $161.00 |