NPI: 1851309751 · MIDWEST CITY, OK 73110 · Optometrist · NPI assigned 08/04/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 284 | $11K |
| 2019 | 99 | $4K |
| 2020 | 105 | $5K |
| 2021 | 106 | $3K |
| 2022 | 72 | $4K |
| 2024 | 73 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 178 | 178 | $19K |
| 92015 | Determination of refractive state | 311 | 311 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 118 | 118 | $3K |
| V2020 | Frames, purchases | 95 | 95 | $950.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 37 | 37 | $0.00 |