NPI: 1760444095 · JACKSON, OH 45640 · Durable Medical Equipment & Medical Supplies · NPI assigned 04/03/2006
| Authorized Official | STOVER, MARTI (BILLING DEPARTMENT) |
| NPI Enumeration Date | 04/03/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 111 | $4K |
| 2019 | 136 | $3K |
| 2023 | 29 | $858.40 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 121 | 112 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 110 | 93 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17 | 17 | $644.40 |
| 92341 | 16 | 13 | $266.70 | |
| V2020 | Frames, purchases | 12 | 12 | $214.00 |