NPI: 1215991104 · VINCENNES, IN 47591 · Optometrist · NPI assigned 04/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 162 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21 | 19 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 27 | 14 | $488.40 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 27 | 15 | $416.64 |
| V2020 | Frames, purchases | 30 | 25 | $400.00 |
| 92015 | Determination of refractive state | 28 | 23 | $220.05 |
| V2755 | U-v lens, per lens | 29 | 24 | $211.47 |