NPI: 1669635835 · LEAVENWORTH, KS 66048 · Optometrist · NPI assigned 07/08/2008
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 805 | $28K |
| 2020 | 208 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 207 | 207 | $10K |
| V2020 | Frames, purchases | 225 | 225 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 77 | 77 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 138 | 138 | $5K |
| V2760 | Scratch resistant coating, per lens | 224 | 223 | $4K |
| 92015 | Determination of refractive state | 142 | 142 | $844.20 |