NPI: 1699784868 · MANCHESTER, IA 52057 · Optometrist · NPI assigned 08/06/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 383 | $7K |
| 2019 | 184 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 143 | 127 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 35 | 35 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 44 | 43 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 27 | 14 | $273.62 |
| 92015 | Determination of refractive state | 318 | 308 | $89.80 |