NPI: 1104483437 · KALKASKA, MI 49646 · Optometrist · NPI assigned 05/22/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 315 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 55 | 55 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 36 | 36 | $3K |
| V2020 | Frames, purchases | 52 | 52 | $1K |
| 92015 | Determination of refractive state | 129 | 129 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 43 | 25 | $322.04 |