DR. JEANETTE JEZICK OD., LLC
NPI: 1144556192
· GALES FERRY, CT 06335
· 152W00000X
$371K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,303 |
$74K |
| 2019 |
2,095 |
$64K |
| 2020 |
1,820 |
$47K |
| 2021 |
1,772 |
$53K |
| 2022 |
1,449 |
$44K |
| 2023 |
1,650 |
$49K |
| 2024 |
1,322 |
$39K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
|
2,610 |
2,465 |
$85K |
| 92014 |
|
1,806 |
1,689 |
$77K |
| S0580 |
Polycarb lens |
2,500 |
2,144 |
$62K |
| V2020 |
Vision svcs frames purchases |
2,109 |
2,024 |
$59K |
| 92340 |
|
1,557 |
1,497 |
$32K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
846 |
719 |
$21K |
| 92250 |
|
562 |
520 |
$17K |
| 92004 |
|
218 |
215 |
$14K |
| 92342 |
|
97 |
95 |
$2K |
| V2303 |
Lens sphcy trifocal 4.0/.12- |
35 |
24 |
$1K |
| 92083 |
|
28 |
25 |
$834.86 |
| 92145 |
|
43 |
41 |
$302.93 |