NPI: 1427749209 · JACKSONVILLE, IL 62650 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 1,262 | $31K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 179 | 179 | $10K | |
| 92015 | 281 | 281 | $5K | |
| 92340 | 155 | 155 | $5K | |
| 92014 | 104 | 104 | $4K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 185 | 184 | $2K |
| V2020 | Frames, purchases | 212 | 212 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 146 | 145 | $2K |