NPI: 1750397337 · FLOSSMOOR, IL 60422 · Optometrist
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 349 | $14K |
| 2021 | 584 | $24K |
| 2022 | 407 | $13K |
| 2023 | 37 | $755.35 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 309 | 298 | $20K |
| 92012 | 360 | 357 | $16K | |
| 92004 | 205 | 203 | $9K | |
| V2020 | Frames, purchases | 376 | 366 | $5K |
| 92340 | 34 | 25 | $688.16 | |
| 92015 | 56 | 56 | $585.35 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 37 | 26 | $475.82 |