NPI: 1477664902 · SIOUX CITY, IA 51106 · Optometrist · NPI assigned 08/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 1,077 | $26K |
| 2019 | 797 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 626 | 611 | $37K |
| V2020 | Frames, purchases | 197 | 186 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 154 | 147 | $3K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 45 | 43 | $538.36 |
| V2756 | Eye glass case | 210 | 199 | $200.88 |
| 92015 | Determination of refractive state | 642 | 619 | $0.00 |