SENIORWELL OF WISCONSIN LLC
NPI: 1225528250
· MILWAUKEE, WI 53224
· Optometrist
· NPI assigned 05/15/2018
$199.50
Total Medicaid Paid
Provider Details
| Authorized Official | KING, KENNETH (OWNER) |
| NPI Enumeration Date | 05/15/2018 |
Related Entities
Other providers sharing the same authorized official: KING, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
221 |
$0.00 |
| 2020 |
23 |
$199.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D0150 |
Comprehensive oral evaluation - new or established patient |
159 |
149 |
$199.50 |
| 92567 |
|
51 |
33 |
$0.00 |
| 92015 |
Determination of refractive state |
34 |
16 |
$0.00 |