NPI: 1639804644 · NOLENSVILLE, TN 37135 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/22/2022
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 180 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 32 | 31 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 30 | 30 | $500.00 |
| V2020 | Frames, purchases | 37 | 36 | $370.00 |
| 92015 | Determination of refractive state | 45 | 44 | $308.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 36 | 35 | $136.00 |