NPI: 1124191846 · NORTHBROOK, IL 60062 · Optometrist · NPI assigned 11/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 15 | $270.77 |
| 2021 | 41 | $2K |
| 2022 | 259 | $7K |
| 2023 | 14 | $179.76 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 67 | 67 | $4K |
| 92015 | Determination of refractive state | 198 | 197 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16 | 16 | $1K |
| V2020 | Frames, purchases | 29 | 29 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 19 | 19 | $244.34 |