NPI: 1265406730 · OLD FORGE, PA 18518 · Optometrist · NPI assigned 02/14/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 60 | $2K |
| 2021 | 90 | $3K |
| 2022 | 147 | $4K |
| 2023 | 113 | $2K |
| 2024 | 96 | $2K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 220 | 139 | $9K |
| 92015 | Determination of refractive state | 230 | 226 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14 | 14 | $822.78 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 28 | 26 | $810.00 |
| V2020 | Frames, purchases | 14 | 14 | $98.00 |