NPI: 1427624881 · MOUNT JOY, PA 17552 · Optometrist · NPI assigned 05/27/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 93 | $2K |
| 2024 | 12 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 33 | 21 | $1K |
| V2020 | Frames, purchases | 21 | 13 | $433.80 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 20 | 12 | $356.40 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 19 | 12 | $274.50 |
| 92015 | Determination of refractive state | 12 | 12 | $0.00 |