NPI: 1124190939 · BENNETTSVILLE, SC 29512 · Optometrist · NPI assigned 11/15/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 109 | $3K |
| 2019 | 185 | $3K |
| 2021 | 13 | $131.96 |
| 2022 | 27 | $247.74 |
| 2024 | 13 | $99.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 81 | 79 | $4K |
| 92015 | Determination of refractive state | 226 | 220 | $2K |
| V2020 | Frames, purchases | 14 | 14 | $209.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 13 | $164.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $62.00 |