NPI: 1881761161 · BOLIVAR, MO 65613 · Optometrist · NPI assigned 11/29/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 337 | $3K |
| 2019 | 331 | $3K |
| 2020 | 174 | $2K |
| 2022 | 122 | $3K |
| 2023 | 12 | $540.00 |
| 2024 | 117 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 289 | 253 | $7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 365 | 172 | $5K |
| 92015 | Determination of refractive state | 382 | 352 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15 | 15 | $746.18 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 42 | 26 | $234.06 |