NPI: 1396851416 · VESTAL, NY 13850 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $516.00 |
| 2019 | 33 | $2K |
| 2020 | 72 | $4K |
| 2021 | 12 | $516.00 |
| 2022 | 12 | $516.00 |
| 2023 | 12 | $516.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 99 | 99 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 29 | 29 | $2K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 13 | 13 | $917.11 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12 | 12 | $480.00 |