NPI: 1871781336 · VERNON, CT 06066 · Optometrist · NPI assigned 10/10/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 54 | $1K |
| 2023 | 152 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 83 | 82 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14 | 14 | $682.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 81 | 80 | $544.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14 | 14 | $323.44 |
| 92015 | Determination of refractive state | 14 | 13 | $0.00 |