NPI: 1194729533 · NORTHFIELD, OH 44067 · Optometrist · NPI assigned 06/13/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $249.96 |
| 2020 | 55 | $736.52 |
| 2021 | 92 | $981.50 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 45 | 45 | $765.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12 | 12 | $515.52 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15 | 15 | $300.00 |
| 92015 | Determination of refractive state | 75 | 75 | $249.96 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12 | 12 | $137.50 |