NPI: 1831750108 · CHESTERFIELD, MO 63005 · Optometrist · NPI assigned 06/26/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 43 | $408.17 |
| 2020 | 64 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $604.80 |
| V2020 | Frames, purchases | 13 | 13 | $263.68 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $247.36 |
| 92015 | Determination of refractive state | 44 | 44 | $229.71 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25 | 25 | $216.03 |