NPI: 1124401773 · MISHAWAKA, IN 46545 · Optometrist · NPI assigned 07/01/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 594 | $15K |
| 2019 | 169 | $9K |
| 2020 | 62 | $2K |
| 2024 | 85 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 272 | 248 | $9K |
| 92004 | 94 | 93 | $8K | |
| 92014 | 67 | 67 | $6K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 160 | 82 | $6K |
| 92015 | 304 | 303 | $4K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13 | 13 | $728.61 |