NPI: 1750956686 · PERRYSBURG, OH 43551 · Optometrist · NPI assigned 05/24/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 12 | $0.00 |
| 2023 | 14 | $601.44 |
| 2024 | 65 | $210.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14 | 14 | $601.44 |
| V2020 | Frames, purchases | 25 | 25 | $210.00 |
| 92015 | Determination of refractive state | 24 | 24 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15 | 15 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13 | 13 | $0.00 |