NPI: 1194906727 · MILFORD, NH 03055 · Clinic/Center · NPI assigned 11/26/2007
| Authorized Official | LE, JULIE (SOLE MEMBER/OWNER) |
| NPI Enumeration Date | 11/26/2007 |
Other providers sharing the same authorized official: LE, JULIE
| Provider | City | State | Total Paid |
|---|---|---|---|
| KIDSPACE PEDIATRIC DENTISTRY,P.A | WICHITA | KS | $4.34M |
| KIDSPACE PEDIATRIC DENTISTRY PARTNERSHIP | WICHITA | KS | $2.07M |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 649 | $19K |
| 2019 | 162 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 137 | 123 | $10K |
| V2020 | Frames, purchases | 159 | 128 | $5K |
| 92015 | Determination of refractive state | 217 | 185 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 100 | 85 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 60 | 52 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 138 | 119 | $550.00 |