NPI: 1174597199 · ROCHESTER, NH 03867 · Optometrist · NPI assigned 02/15/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 144 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 35 | 24 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 27 | 18 | $675.00 |
| 92015 | Determination of refractive state | 26 | 16 | $550.68 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 20 | 13 | $317.70 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 36 | 24 | $144.00 |