DICKERT, RACHEL
NPI: 1053838409
· PHOENIX, AZ 85015
· Optometrist
· NPI assigned 08/26/2017
$148.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
133 |
$148.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
56 |
56 |
$74.00 |
| V2020 |
Frames, purchases |
56 |
56 |
$74.00 |
| 92015 |
Determination of refractive state |
21 |
21 |
$0.00 |