NPI: 1245594407 · YORKTOWN, VA 23693 · Optometrist · NPI assigned 07/02/2012
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 13 | $0.00 |
| 2020 | 61 | $509.00 |
| 2021 | 210 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 78 | 78 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 25 | 25 | $682.25 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 25 | 25 | $92.72 |
| 92015 | Determination of refractive state | 156 | 156 | $58.00 |