NPI: 1548296718 · MISHAWAKA, IN 46545 · Optometrist · NPI assigned 06/23/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 288 | $8K |
| 2019 | 50 | $1K |
| 2020 | 120 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 57 | 54 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28 | 27 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 98 | 57 | $2K |
| V2020 | Frames, purchases | 105 | 104 | $2K |
| 92015 | Determination of refractive state | 170 | 165 | $2K |