ELEMENT79 SOLUTIONS INC
NPI: 1184487340
· ANAHEIM, CA 92801
· Optometrist
· NPI assigned 01/31/2024
$147.31
Total Medicaid Paid
Provider Details
| Authorized Official | KIM, EUGENE (OWNER) |
| NPI Enumeration Date | 01/31/2024 |
Related Entities
Other providers sharing the same authorized official: KIM, EUGENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
839 |
$147.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
136 |
136 |
$106.50 |
| 92015 |
Determination of refractive state |
274 |
274 |
$21.63 |
| V2020 |
Frames, purchases |
196 |
194 |
$19.18 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
86 |
86 |
$0.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
147 |
147 |
$0.00 |