EYES ON MAIN INCORPORATED
NPI: 1316121627
· BOZEMAN, MT 59715
· Optometrist
· NPI assigned 12/21/2007
$180K
Total Medicaid Paid
Provider Details
| Authorized Official | SQUIRE, JEFFREY (PRESIDENT) |
| NPI Enumeration Date | 12/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,034 |
$46K |
| 2019 |
673 |
$26K |
| 2020 |
584 |
$22K |
| 2021 |
689 |
$33K |
| 2022 |
545 |
$26K |
| 2023 |
582 |
$26K |
| 2024 |
113 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
647 |
634 |
$72K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
498 |
478 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,205 |
1,151 |
$32K |
| 92015 |
Determination of refractive state |
1,841 |
1,774 |
$31K |
| 92250 |
|
29 |
26 |
$910.00 |