NPI: 1780796490 · SALEM, OH 44460 · Optometrist · NPI assigned 08/31/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 341 | $3K |
| 2024 | 284 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 168 | 163 | $2K |
| V2020 | Frames, purchases | 174 | 166 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 103 | 100 | $791.28 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 25 | 25 | $13.00 |
| 92015 | Determination of refractive state | 155 | 150 | $0.00 |