NPI: 1598301616 · WALLA WALLA, WA 99362 · Optometrist · NPI assigned 11/24/2019
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 76 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17 | 17 | $2K |
| V2020 | Frames, purchases | 17 | 17 | $340.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 13 | $323.44 |
| 92015 | Determination of refractive state | 29 | 29 | $0.00 |