NPI: 1316558570 · ELK GROVE VILLAGE, IL 60007 · Optometrist · NPI assigned 08/12/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,073 | $19K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 258 | 255 | $8K |
| V2020 | Frames, purchases | 333 | 322 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 223 | 213 | $3K |
| 92341 | 75 | 70 | $2K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 172 | 161 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 12 | 12 | $230.12 |