BOLT EYE GROUP - JOHNSON CITY, LLC
NPI: 1992431118
· JOHNSON CITY, TN 37601
· Optometrist
· NPI assigned 07/29/2022
Provider Details
| Authorized Official | WILLIAMS, BARBARA (BILLING SPECIALIST) |
| NPI Enumeration Date | 07/29/2022 |
Related Entities
Other providers sharing the same authorized official: WILLIAMS, BARBARA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
26 |
$1K |
| 2024 |
337 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
78 |
78 |
$6K |
| 92015 |
Determination of refractive state |
119 |
117 |
$4K |
| V2020 |
Frames, purchases |
90 |
88 |
$476.10 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
34 |
$426.80 |
| 92250 |
|
13 |
12 |
$121.03 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$67.49 |
| V2781 |
Progressive lens, per lens |
14 |
14 |
$0.00 |