IDEAL VISION CENTER LLC
NPI: 1316103609
· HAGATNA, GU 96910
· Clinic/Center
· NPI assigned 08/06/2008
Provider Details
| Authorized Official | SUNGA, LORRAINE (VICE-PRESIDENT/MANAGER) |
| NPI Enumeration Date | 08/06/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
46 |
$953.12 |
| 2020 |
131 |
$5K |
| 2021 |
252 |
$10K |
| 2022 |
430 |
$25K |
| 2023 |
364 |
$24K |
| 2024 |
217 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2199 |
Not otherwise classified, single vision lens |
517 |
504 |
$63K |
| 92015 |
Determination of refractive state |
923 |
905 |
$18K |