NPI: 1730244567 · SIOUX FALLS, SD 57105 · Optometrist · NPI assigned 12/22/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $825.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12 | 12 | $825.00 |