NPI: 1003063504 · CHILLICOTHE, OH 45601 · Optometrist · NPI assigned 08/26/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 93 | $2K |
| 2021 | 41 | $865.32 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 47 | 46 | $914.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 35 | 35 | $870.80 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15 | 15 | $601.44 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $169.00 |
| 92015 | Determination of refractive state | 24 | 24 | $0.00 |