NPI: 1154851483 · HOLTON, KS 66436 · Optometrist · NPI assigned 06/19/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 152 | $4K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 39 | 36 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15 | 15 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 20 | 19 | $1K |
| V2760 | Scratch resistant coating, per lens | 21 | 20 | $420.00 |
| 92015 | Determination of refractive state | 40 | 39 | $220.50 |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 17 | 16 | $150.00 |