NPI: 1356301535 · KINGSTON, PA 18704 · Optometrist · NPI assigned 03/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $54.00 |
| 2021 | 246 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 82 | 53 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16 | 16 | $724.48 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 48 | 24 | $720.00 |
| V2020 | Frames, purchases | 52 | 50 | $364.00 |
| 92015 | Determination of refractive state | 60 | 60 | $270.00 |