NPI: 1356361208 · MACCLENNY, FL 32063 · Optometrist · NPI assigned 07/20/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 279 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 90 | 66 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25 | 13 | $2K |
| 92015 | Determination of refractive state | 74 | 50 | $106.62 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 27 | 27 | $17.18 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 63 | 46 | $0.00 |