MANESCALCO, KELSEY
NPI: 1003338211
· OTSEGO, MN 55330
· Pediatric Optometrist
· NPI assigned 07/10/2017
$984.01
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
39 |
$984.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$662.99 |
| V2020 |
Frames, purchases |
12 |
12 |
$246.60 |
| 92015 |
Determination of refractive state |
14 |
14 |
$74.42 |