NPI: 1114074416 · APPLETON, WI 54913 · Optometrist · NPI assigned 01/05/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 141 | $977.36 |
| 2023 | 97 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20 | 20 | $531.96 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43 | 43 | $445.40 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 37 | 30 | $0.00 |
| V2025 | Deluxe frame | 17 | 15 | $0.00 |
| V2020 | Frames, purchases | 60 | 49 | $0.00 |
| 92015 | Determination of refractive state | 61 | 61 | $0.00 |