NPI: 1962939082 · GREENWOOD, SC 29649 · Optometrist · NPI assigned 05/19/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 83 | $2K |
| 2020 | 75 | $819.00 |
| 2021 | 12 | $108.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19 | 19 | $1K |
| 92015 | Determination of refractive state | 62 | 62 | $783.12 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 31 | 31 | $484.00 |
| 92250 | 22 | 22 | $413.82 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12 | 12 | $168.00 |
| V2020 | Frames, purchases | 12 | 12 | $120.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12 | 12 | $48.00 |