NPI: 1518254572 · WESTLAKE, OH 44145 · Optometrist · NPI assigned 06/28/2011
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 27 | $515.52 |
| 2021 | 79 | $601.44 |
| 2022 | 58 | $570.56 |
| 2024 | 32 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26 | 26 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12 | 12 | $298.56 |
| V2020 | Frames, purchases | 15 | 15 | $272.00 |
| 92015 | Determination of refractive state | 128 | 128 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15 | 15 | $0.00 |