NPI: 1073248399 · LOMBARD, IL 60148 · Optometrist · NPI assigned 07/20/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 196 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 40 | 39 | $2K |
| V2020 | Frames, purchases | 22 | 22 | $849.00 |
| 92015 | Determination of refractive state | 57 | 56 | $612.25 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 37 | 36 | $456.02 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19 | 19 | $394.41 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21 | 21 | $268.20 |