NPI: 1093330508 · EXCELSIOR SPRINGS, MO 64024 · Optometrist · NPI assigned 06/10/2020
| Authorized Official | MILJAVAC, REMI (DR OF OPTOMETRY/ OWNER) |
| NPI Enumeration Date | 06/10/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 151 | $3K |
| 2021 | 404 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 115 | 114 | $6K |
| V2020 | Frames, purchases | 132 | 130 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 75 | 38 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 97 | 54 | $1K |
| 92015 | Determination of refractive state | 136 | 134 | $727.60 |