FRED C. BOBOTH O.D., P.S.
NPI: 1003017476
· GRANDVIEW, WA 98930
· 152W00000X
$172K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,700 |
$172K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,072 |
1,059 |
$77K |
| 92004 |
|
534 |
533 |
$46K |
| 92340 |
|
1,149 |
1,136 |
$24K |
| 92015 |
|
1,742 |
1,729 |
$20K |
| 92250 |
|
203 |
168 |
$5K |