NPI: 1497125199 · GOSHEN, NY 10924 · Optometrist · NPI assigned 10/07/2015
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 614 | $10K |
| 2024 | 12 | $330.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 216 | 154 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 147 | 143 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 191 | 145 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36 | 36 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 36 | 36 | $329.76 |