NPI: 1275585119 · SHEBOYGAN, WI 53081 · Optometrist · NPI assigned 05/17/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 219 | $0.00 |
| 2020 | 251 | $0.00 |
| 2021 | 12 | $0.00 |
| 2023 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 76 | 69 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 20 | 14 | $0.00 |
| V2020 | Frames, purchases | 144 | 109 | $0.00 |
| V2025 | Deluxe frame | 93 | 58 | $0.00 |
| 92015 | Determination of refractive state | 123 | 112 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 38 | 38 | $0.00 |