C WALLACE LILES III O D LLC
NPI: 1134524770
· MENA, AR 71953
· Optometrist
· NPI assigned 10/24/2014
Provider Details
| Authorized Official | LILES, C (OWNER) |
| NPI Enumeration Date | 10/24/2014 |
Related Entities
Other providers sharing the same authorized official: LILES, C
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,540 |
$78K |
| 2019 |
328 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
858 |
838 |
$41K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
664 |
652 |
$38K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
233 |
226 |
$13K |
| 92015 |
|
113 |
111 |
$2K |