EYE CENTER OF HAWAII LLC

NPI: 1073844999 · KAILUA KONA, HI 96740 · Ophthalmology Physician · NPI assigned 01/15/2010

$2K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2021-04

First Month

2021-04

Last Month

Provider Details

Authorized Official	BENNETT, MICHAEL (PRESIDENT AND FOUNDER)
NPI Enumeration Date	01/15/2010

Other providers sharing the same authorized official: BENNETT, MICHAEL

Provider	City	State	Total Paid
HALE MAKA IKE LLC	HONOLULU	HI	$920K
GUTHRIE VISION SOURCE PC, INC.	GUTHRIE	OK	$665K
CENTER FOR SIGHT - WEST OAHU LLC	HONOLULU	HI	$366K
RETINA INSTITUTE OF HAWAII LLC	KAILUA KONA	HI	$348K
CENTER FOR SIGHT LLC	KAHULUI	HI	$157K
HAWAII CATARACT AND LASER INSTITUTE HILO LLC	HILO	HI	$82K
MICHAEL J BENNETT	JUNEAU	AK	$73K
SANDSTONE DENTAL OFFICE	SANDSTONE	MN	$70K
THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC	CLAYTON	NY	$54K
FISHERS ORAL & MAXILLOFACIAL SURGERY	FISHERS	IN	$526.52

Year	Claims	Total Paid
2021	68	$2K

Code	Description	Claims	Beneficiaries	Total Paid
V2020	Frames, purchases	32	27	$2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	36	15	$802.67