NPI: 1598730954 · ATLANTIC, IA 50022 · Optometrist · NPI assigned 02/21/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 250 | $7K |
| 2019 | 76 | $3K |
| 2020 | 51 | $2K |
| 2021 | 24 | $1K |
| 2022 | 68 | $3K |
| 2023 | 25 | $575.59 |
| 2024 | 45 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 287 | 287 | $13K |
| V2020 | Frames, purchases | 116 | 115 | $3K |
| 92002 | 12 | 12 | $633.38 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 41 | 24 | $620.84 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 25 | 13 | $104.00 |
| 92015 | Determination of refractive state | 58 | 56 | $0.00 |