NPI: 1366505323 · WAITE PARK, MN 56387 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/19/2006
| Authorized Official | DUBOW, BURT (OWNER) |
| NPI Enumeration Date | 12/19/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,428 | $9K |
| 2019 | 403 | $11K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 424 | 416 | $7K |
| V2020 | Frames, purchases | 477 | 464 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 593 | 293 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 301 | 295 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 24 | 12 | $435.92 |
| 92341 | 12 | 12 | $325.21 |