EYE PROSTHETICS OF UTAH, INC.
NPI: 1366475154
· MIDVALE, UT 84047
· Prosthetic/Orthotic Supplier
· NPI assigned 07/08/2006
$417.63
Total Medicaid Paid
Provider Details
| Authorized Official | CARUSO, RICHARD (PRESIDENT/OCULARIST) |
| NPI Enumeration Date | 07/08/2006 |
Related Entities
Other providers sharing the same authorized official: CARUSO, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$417.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2624 |
Polishing/resurfacing of ocular prosthesis |
12 |
12 |
$417.63 |