AEG PENNSYLVANIA PROFESSIONAL, INC

NPI: 1316956030 · PITTSBURGH, PA 15217 · Optometrist · NPI assigned 08/05/2006

$20K

Total Medicaid Paid

828

Total Claims

822

Beneficiaries

Codes Billed

2021-03

First Month

2024-12

Last Month

Provider Details

Authorized Official	CHUDNER, BENJAMIN (OWNER)
Parent Organization	AEG PENNSYLVANIA PROFESSIONAL, INC
NPI Enumeration Date	08/05/2006

Other providers sharing the same authorized official: CHUDNER, BENJAMIN

Provider	City	State	Total Paid
AEG MICHIGAN PROFESSIONAL LLC	CHESANING	MI	$241K
AEG PENNSYLVANIA PROFESSIONAL, INC	WARRENDALE	PA	$4K
NEW YORK OPTOMETRY PROFESSIONAL PLLC	SIDNEY	NY	$2K
AEG PENNSYLVANIA PROFESSIONAL, INC	PITTSBURGH	PA	$480.00

Year	Claims	Total Paid
2021	28	$331.76
2024	800	$20K

Code	Description	Claims	Beneficiaries	Total Paid
V2020	Frames, purchases	197	193	$12K
S0621	Routine ophthalmological examination including refraction; established patient	146	146	$4K
S0620	Routine ophthalmological examination including refraction; new patient	76	75	$2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	57	57	$1K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	17	17	$457.00
92015	Determination of refractive state	335	334	$0.00