NPI: 1477179349 · SUSSEX, WI 53089 · Optometrist · NPI assigned 06/17/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 125 | $0.00 |
| 2021 | 52 | $0.00 |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 28 | 28 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14 | 14 | $0.00 |
| V2020 | Frames, purchases | 33 | 33 | $0.00 |
| V2025 | Deluxe frame | 26 | 26 | $0.00 |
| 92015 | Determination of refractive state | 54 | 54 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22 | 22 | $0.00 |