NPI: 1447784582 · BROOKVILLE, OH 45309 · Optometrist · NPI assigned 04/15/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 164 | $132.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24 | 24 | $132.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14 | 14 | $0.00 |
| V2020 | Frames, purchases | 55 | 55 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16 | 16 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 55 | 55 | $0.00 |