MORTEMORE, JACOB
NPI: 1265985071
· HENDERSONVILLE, TN 37075
· Optometrist
· NPI assigned 07/28/2016
$299.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
46 |
$299.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
13 |
13 |
$104.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$100.00 |
| 92015 |
Determination of refractive state |
20 |
20 |
$95.00 |