NPI: 1326040536 · MANNING, SC 29102 · Optometrist · NPI assigned 06/01/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 68 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15 | 15 | $884.61 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 13 | $182.00 |
| 92015 | Determination of refractive state | 14 | 14 | $140.22 |
| V2020 | Frames, purchases | 13 | 13 | $130.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $52.00 |