NPI: 1780163139 · SURPRISE, AZ 85374 · Optometrist · NPI assigned 08/07/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 54 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $2K |
| V2020 | Frames, purchases | 13 | 13 | $416.10 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12 | 12 | $330.00 |
| 92015 | Determination of refractive state | 16 | 16 | $263.38 |