GRAND RAPIDS EYE CARE 2820 PLLC
NPI: 1053534040
· GRAND RAPIDS, MI 49525
· Optometrist
· NPI assigned 04/10/2007
$366.31
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, MARK (OWNER) |
| NPI Enumeration Date | 04/10/2007 |
Related Entities
Other providers sharing the same authorized official: DAVIS, MARK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$222.31 |
| 2023 |
37 |
$72.00 |
| 2024 |
12 |
$72.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13 |
13 |
$222.31 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
24 |
$144.00 |
| 92015 |
Determination of refractive state |
17 |
16 |
$0.00 |