L VICTOR SANDOVAL, P.C.
NPI: 1316136443
· LAS CRUCES, NM 88011
· Corneal and Contact Management Optometrist
· NPI assigned 10/15/2007
$139K
Total Medicaid Paid
3,172
Beneficiary Records
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,054 |
$60K |
| 2020 |
931 |
$34K |
| 2021 |
1,210 |
$45K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,017 |
1,013 |
$87K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
600 |
594 |
$45K |
| 92015 |
Determination of refractive state |
1,490 |
1,480 |
$4K |
| 92250 |
|
50 |
48 |
$3K |
| 2026F |
|
38 |
37 |
$0.00 |