JACOBY, DAVID
NPI: 1003811761
· OSAGE CITY, KS 66523
· Optometrist
· NPI assigned 06/17/2005
$806.40
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
91 |
$737.10 |
| 2021 |
31 |
$69.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
14 |
13 |
$455.00 |
| 92015 |
Determination of refractive state |
48 |
40 |
$239.40 |
| V2760 |
Scratch resistant coating, per lens |
16 |
14 |
$112.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44 |
40 |
$0.00 |