NPI: 1760710958 · MCMINNVILLE, OR 97128 · Optometrist · NPI assigned 11/25/2009
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 90 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18 | 18 | $1K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 17 | 17 | $732.36 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 19 | 19 | $570.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17 | 17 | $425.00 |
| V2020 | Frames, purchases | 19 | 19 | $228.00 |