WEIDERT, DUSTIN
NPI: 1083341515
· LUTCHER, LA 70071
· Optometrist
· NPI assigned 08/04/2022
$545.64
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
13 |
$0.00 |
| 2024 |
136 |
$545.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17 |
13 |
$545.64 |
| 92015 |
Determination of refractive state |
132 |
106 |
$0.00 |