NPI: 1124506852 · APPLE VALLEY, MN 55124 · Optometrist · NPI assigned 08/03/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 219 | $4K |
| 2023 | 52 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 55 | 55 | $2K |
| V2020 | Frames, purchases | 56 | 56 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 40 | 40 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 26 | 26 | $325.00 |
| 92015 | Determination of refractive state | 94 | 94 | $0.00 |