NPI: 1275848962 · SOUTH BEND, IN 46615 · Optometrist · NPI assigned 08/18/2010
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 258 | $7K |
| 2020 | 67 | $1K |
| 2024 | 30 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 111 | 109 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29 | 29 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 60 | 48 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26 | 26 | $2K |
| 92015 | Determination of refractive state | 129 | 126 | $2K |