NPI: 1851485015 · BRIDGEPORT, OH 43912 · Optometrist · NPI assigned 10/03/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 37 | $500.00 |
| 2021 | 260 | $4K |
| 2022 | 54 | $515.52 |
| 2023 | 125 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 200 | 193 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 60 | 60 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12 | 12 | $515.52 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12 | 12 | $515.52 |
| 92015 | Determination of refractive state | 192 | 190 | $62.49 |