NPI: 1801936463 · GRAND PRAIRIE, TX 75052 · Optometrist · NPI assigned 02/06/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 84 | $952.00 |
| 2021 | 740 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 237 | 229 | $6K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 104 | 100 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 223 | 217 | $2K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 48 | 47 | $844.75 |
| V2750 | Anti-reflective coating, per lens | 17 | 17 | $240.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 195 | 187 | $26.00 |