IDABEL TEG LLC
NPI: 1104533009
· IDABEL, OK 74745
· Eyewear Supplier
· NPI assigned 10/31/2022
Provider Details
| Authorized Official | GRASSIE, KAYLA (BILLING) |
| NPI Enumeration Date | 10/31/2022 |
Related Entities
Other providers sharing the same authorized official: GRASSIE, KAYLA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
119 |
$988.00 |
| 2024 |
77 |
$440.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
87 |
87 |
$870.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
25 |
$558.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
84 |
84 |
$0.00 |