NPI: 1316597594 · WOODRIDGE, IL 60517 · Optometrist · NPI assigned 09/18/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 81 | $2K |
| 2021 | 14 | $416.00 |
| 2023 | 288 | $9K |
| 2024 | 299 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 293 | 278 | $15K |
| 92015 | Determination of refractive state | 343 | 326 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 33 | 31 | $907.85 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 13 | 13 | $585.00 |