NPI: 1306004148 · NORTHLAKE, IL 60164 · Optometrist · NPI assigned 05/29/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 840 | $30K |
| 2019 | 959 | $32K |
| 2020 | 518 | $23K |
| 2021 | 852 | $38K |
| 2022 | 151 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | 1,994 | 1,910 | $90K | |
| 92340 | 550 | 549 | $16K | |
| 92014 | 240 | 203 | $11K | |
| 92004 | 97 | 84 | $4K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 82 | 82 | $4K |
| 92015 | 180 | 180 | $3K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 49 | 49 | $2K |
| 92341 | 28 | 28 | $815.56 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13 | 13 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 30 | 30 | $0.00 |
| V2020 | Frames, purchases | 57 | 56 | $0.00 |