NPI: 1326194101 · WOODRIDGE, IL 60517 · Optometrist · NPI assigned 01/26/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 266 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 82 | 77 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 73 | 73 | $3K |
| V2025 | Deluxe frame | 80 | 79 | $864.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 31 | 30 | $0.00 |