NPI: 1720608342 · BARNESVILLE, OH 43713 · Student in an Organized Health Care Education/Training Program · NPI assigned 04/23/2020
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $0.00 |
| 2022 | 85 | $2K |
| 2023 | 196 | $2K |
| 2024 | 100 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 153 | 149 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 41 | 41 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17 | 17 | $692.72 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30 | 28 | $515.52 |
| 92015 | Determination of refractive state | 152 | 150 | $0.00 |