NPI: 1033763016 · PLYMOUTH, IN 46563 · Optometrist · NPI assigned 07/29/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 15 | $220.05 |
| 2024 | 288 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 111 | 106 | $6K |
| 92015 | Determination of refractive state | 133 | 132 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15 | 15 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 31 | 31 | $1K |