NPI: 1578555389 · SAC CITY, IA 50583 · Optometrist · NPI assigned 08/17/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 264 | $7K |
| 2019 | 203 | $5K |
| 2020 | 13 | $518.21 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 199 | 191 | $8K |
| V2020 | Frames, purchases | 118 | 109 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 45 | 43 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 42 | 42 | $494.55 |
| V2756 | Eye glass case | 76 | 74 | $79.92 |