NPI: 1528554664 · VIENNA, VA 22182 · Optometrist · NPI assigned 07/02/2018
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 852 | $2K |
| 2021 | 379 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 431 | 215 | $910.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 402 | 178 | $490.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 98 | 43 | $420.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 221 | 113 | $112.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 79 | 46 | $26.00 |