NPI: 1124341375 · WATERTOWN, WI 53094 · Optometrist · NPI assigned 03/02/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 903 | $0.00 |
| 2020 | 109 | $0.00 |
| 2021 | 26 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 168 | 97 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 112 | 68 | $0.00 |
| V2020 | Frames, purchases | 284 | 171 | $0.00 |
| V2025 | Deluxe frame | 221 | 114 | $0.00 |
| 92015 | Determination of refractive state | 159 | 97 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 94 | 46 | $0.00 |