THORNAPPLE EYECARE
NPI: 1205617776
· MIDDLEVILLE, MI 49333
· Optometrist
· NPI assigned 10/11/2023
$870.00
Total Medicaid Paid
Provider Details
| Authorized Official | KENYON, JEFFREY (OWNER/DOCTOR) |
| NPI Enumeration Date | 10/11/2023 |
Related Entities
Other providers sharing the same authorized official: KENYON, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
12 |
$870.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$870.00 |