NPI: 1467899609 · GLENDALE, WI 53217 · Optometrist · NPI assigned 05/29/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 228 | $126.60 |
| 2019 | 49 | $159.52 |
| 2020 | 34 | $33.97 |
| 2021 | 192 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 37 | 37 | $808.45 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 65 | 65 | $664.95 |
| V2020 | Frames, purchases | 155 | 148 | $594.00 |
| 92015 | Determination of refractive state | 201 | 199 | $588.23 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17 | 17 | $170.00 |
| V2025 | Deluxe frame | 28 | 25 | $0.00 |