WOLBER, KENT
NPI: 1104883560
· HANNIBAL, MO 63401
· Optometrist
· NPI assigned 04/28/2006
$775.58
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
38 |
$775.58 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$644.58 |
| 92015 |
Determination of refractive state |
25 |
25 |
$131.00 |