NPI: 1619173895
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 285 | $8K |
| 2021 | 126 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 55 | 55 | $5K |
| V2020 | Frames, purchases | 109 | 109 | $5K |
| 92100 | 84 | 84 | $3K | |
| 92015 | Determination of refractive state | 16 | 16 | $304.32 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24 | 24 | $242.00 |
| 92283 | 85 | 84 | $0.00 | |
| 2024F | 13 | 13 | $0.00 | |
| 2025F | 12 | 12 | $0.00 | |
| 92083 | 13 | 13 | $0.00 |