NPI: 1578662524 · PORT JERVIS, NY 12771 · Optometrist · NPI assigned 09/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 107 | $3K |
| 2019 | 102 | $5K |
| 2020 | 149 | $8K |
| 2021 | 212 | $14K |
| 2022 | 231 | $9K |
| 2023 | 89 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 537 | 533 | $19K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 252 | 250 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 74 | 74 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 15 | 15 | $47.50 |