NPI: 1659468502 · PLAIN CITY, OH 43064 · Optometrist · NPI assigned 10/10/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 230 | $3K |
| 2021 | 29 | $0.00 |
| 2022 | 44 | $10.00 |
| 2023 | 12 | $0.00 |
| 2024 | 61 | $687.36 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 79 | 74 | $3K |
| V2020 | Frames, purchases | 45 | 45 | $430.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 13 | $323.44 |
| 92015 | Determination of refractive state | 239 | 232 | $51.66 |