NPI: 1902808710 · PETERSBURG, VA 23805 · Optometrist · NPI assigned 08/11/2005
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 226 | $6K |
| 2019 | 461 | $13K |
| 2020 | 233 | $6K |
| 2021 | 696 | $15K |
| 2022 | 644 | $12K |
| 2024 | 14 | $169.13 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | 327 | 283 | $20K | |
| V2025 | Deluxe frame | 308 | 304 | $16K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 208 | 205 | $7K |
| 92015 | 808 | 710 | $5K | |
| 92250 | 386 | 339 | $5K | |
| 92014 | 16 | 14 | $1K | |
| V2799 | Vision item or service, miscellaneous | 182 | 175 | $0.00 |
| V2702 | Deluxe lens feature | 39 | 38 | $0.00 |