MATHIS, MALLORY
NPI: 1134805633
· WAVERLY, TN 37185
· Optometrist
· NPI assigned 06/27/2023
$348.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
55 |
$348.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92015 |
Determination of refractive state |
28 |
28 |
$140.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
14 |
14 |
$104.00 |
| V2020 |
Frames, purchases |
13 |
13 |
$104.00 |