DALLAS-FT WORTH RETINA LLC
NPI: 1205278215
· RICHARDSON, TX 75080
· 207W00000X
$195K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
579 |
$5K |
| 2019 |
234 |
$3K |
| 2020 |
491 |
$17K |
| 2021 |
2,082 |
$86K |
| 2022 |
1,225 |
$39K |
| 2023 |
791 |
$28K |
| 2024 |
402 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,969 |
1,673 |
$84K |
| 67028 |
|
812 |
599 |
$35K |
| J9035 |
Bevacizumab injection |
736 |
554 |
$31K |
| 92134 |
|
2,079 |
1,807 |
$29K |
| 92004 |
|
196 |
169 |
$16K |
| 99204 |
|
12 |
12 |
$20.41 |