HOLTMAN, LISA
NPI: 1710407622
· WOODBURY, MN 55125
· Optometrist
· NPI assigned 06/21/2017
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
148 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$2K |
| 92015 |
Determination of refractive state |
79 |
61 |
$2K |
| V2020 |
Frames, purchases |
19 |
12 |
$570.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$300.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$52.00 |