NPI: 1912435207 · PATASKALA, OH 43062 · Optometrist · NPI assigned 05/31/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 123 | $2K |
| 2022 | 340 | $6K |
| 2023 | 100 | $1K |
| 2024 | 27 | $221.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 334 | 329 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 138 | 136 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28 | 26 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13 | 13 | $175.00 |
| 92015 | Determination of refractive state | 77 | 74 | $0.00 |