NPI: 1801469523 · HAGERSTOWN, MD 21740 · Student in an Organized Health Care Education/Training Program · NPI assigned 07/20/2021
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 68 | $2K |
| 2022 | 696 | $13K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 435 | 314 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 196 | 163 | $4K |
| V2020 | Frames, purchases | 44 | 44 | $835.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 31 | 31 | $646.88 |
| 92015 | Determination of refractive state | 58 | 48 | $0.00 |