NPI: 1639795214 · SUMMERVILLE, SC 29485 · Optometrist · NPI assigned 06/19/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 14 | $126.00 |
| 2023 | 394 | $5K |
| 2024 | 126 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 109 | 109 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 105 | 105 | $1K |
| V2020 | Frames, purchases | 106 | 106 | $1K |
| 92015 | Determination of refractive state | 94 | 94 | $860.22 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14 | 14 | $726.87 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 106 | 106 | $414.00 |