NPI: 1790913614 · TROY, MO 63379 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 54 | $1K |
| 2019 | 226 | $5K |
| 2020 | 139 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | 115 | 111 | $6K | |
| V2020 | Frames, purchases | 123 | 115 | $2K |
| 92015 | 86 | 84 | $443.33 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 32 | 31 | $391.04 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 31 | 17 | $362.88 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 32 | 31 | $118.68 |