NPI: 1316421308 · HOLLY, MI 48442 · Optometrist · NPI assigned 09/17/2018
| Authorized Official | AHO, TERI (BILLING SPECIALIST) |
| NPI Enumeration Date | 09/17/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 457 | $13K |
| 2020 | 561 | $15K |
| 2021 | 455 | $12K |
| 2022 | 233 | $6K |
| 2023 | 70 | $2K |
| 2024 | 248 | $6K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 904 | 899 | $26K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 365 | 365 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 607 | 604 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 135 | 132 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 12 | $130.25 |