NPI: 1033802806 · WEST COLUMBIA, SC 29169 · Optometrist · NPI assigned 05/30/2023
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 76 | $860.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15 | 15 | $300.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15 | 15 | $210.00 |
| V2020 | Frames, purchases | 16 | 16 | $160.00 |
| 92015 | Determination of refractive state | 14 | 14 | $126.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16 | 16 | $64.00 |