NPI: 1528685948 · LEWISTON, ME 04240 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/01/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 291 | $22K |
| 2023 | 728 | $47K |
| 2024 | 275 | $20K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 624 | 612 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 370 | 344 | $32K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 250 | 242 | $17K |
| V2020 | Frames, purchases | 26 | 13 | $97.50 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 24 | 12 | $39.00 |