NPI: 1144427451 · LAVISTA, NE 68128 · Optometrist · NPI assigned 06/29/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 48 | $2K |
| 2022 | 247 | $9K |
| 2023 | 176 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 141 | 137 | $9K |
| V2020 | Frames, purchases | 164 | 164 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28 | 28 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 126 | 124 | $2K |
| 92015 | Determination of refractive state | 12 | 12 | $0.00 |