NPI: 1619947900 · MANCHESTER, IA 52057 · Optometrist · NPI assigned 01/26/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 273 | $10K |
| 2019 | 184 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 139 | 133 | $8K |
| V2020 | Frames, purchases | 245 | 235 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29 | 27 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 27 | 27 | $638.00 |
| 92015 | Determination of refractive state | 17 | 17 | $0.00 |