NPI: 1790994382 · WOODBURY, NY 11797 · Optometrist · NPI assigned 05/21/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 57 | $756.00 |
| 2020 | 178 | $4K |
| 2021 | 192 | $5K |
| 2022 | 182 | $4K |
| 2023 | 179 | $4K |
| 2024 | 92 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 502 | 497 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 215 | 214 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 126 | 121 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25 | 25 | $695.00 |
| 92015 | Determination of refractive state | 12 | 12 | $0.00 |