NPI: 1417449174 · MEDINA, OH 44256 · Optometrist · NPI assigned 05/30/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 42 | $805.44 |
| 2021 | 544 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 114 | 114 | $5K |
| V2020 | Frames, purchases | 195 | 147 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 104 | 94 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 25 | 25 | $312.50 |
| 92015 | Determination of refractive state | 148 | 148 | $0.00 |