BANNON, MICHAEL
NPI: 1124645585
· WATERTOWN, WI 53094
· Optometrist
· NPI assigned 07/01/2020
$44.54
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$0.00 |
| 2022 |
66 |
$44.54 |
| 2023 |
66 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
33 |
33 |
$44.54 |
| 92015 |
Determination of refractive state |
55 |
55 |
$0.00 |
| V2025 |
Deluxe frame |
12 |
12 |
$0.00 |
| V2020 |
Frames, purchases |
31 |
31 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$0.00 |