NPI: 1982017851 · BLOOMINGDALE, IL 60108 · Optometrist · NPI assigned 06/08/2014
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 81 | $2K |
| 2023 | 41 | $410.00 |
| 2024 | 41 | $410.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92015 | Determination of refractive state | 124 | 124 | $1K |
| V2020 | Frames, purchases | 13 | 13 | $520.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12 | 12 | $480.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14 | 14 | $180.04 |