NPI: 1962767665 · DE SOTO, MO 63020 · Optometrist · NPI assigned 07/09/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 13 | $648.44 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $648.44 |