NPI: 1952754202 · GILMER, TX 75644 · Optometrist · NPI assigned 07/21/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 87 | $2K |
| 2021 | 387 | $10K |
| 2022 | 189 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 374 | 352 | $6K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 106 | 104 | $4K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 101 | 91 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 39 | 39 | $814.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 43 | 37 | $726.00 |