MOON, TIMOTHY
NPI: 1245383504
· HONOLULU, HI 96814
· Optometrist
· NPI assigned 01/19/2007
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
439 |
$0.00 |
| 2023 |
324 |
$0.00 |
| 2024 |
161 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
169 |
169 |
$0.00 |
| V2020 |
Frames, purchases |
210 |
204 |
$0.00 |
| 92015 |
Determination of refractive state |
470 |
453 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
15 |
15 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
27 |
27 |
$0.00 |
| V2025 |
Deluxe frame |
33 |
33 |
$0.00 |