NPI: 1437346459 · RIVERDALE, MD 20737 · Optometrist · NPI assigned 10/03/2007
| Authorized Official | PETERSEN, GAIL (OWNER) |
| NPI Enumeration Date | 10/03/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 113 | $2K |
| 2023 | 306 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 173 | 170 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 96 | 95 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 45 | 45 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 75 | 74 | $334.00 |
| 92002 | 15 | 15 | $320.00 | |
| V2750 | Anti-reflective coating, per lens | 15 | 14 | $0.00 |