NPI: 1508948423 · ST CHARLES, IL 60174 · Optician
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 31 | $739.00 |
| 2023 | 437 | $12K |
| 2024 | 424 | $12K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 669 | 668 | $19K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 208 | 208 | $5K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 15 | 15 | $391.50 |