LEET, JACOB
NPI: 1376991117
· BENTONVILLE, AR 72712
· Optometrist
· NPI assigned 06/02/2016
$797.17
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
98 |
$733.62 |
| 2019 |
14 |
$63.55 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
12 |
$598.30 |
| 92015 |
Determination of refractive state |
76 |
38 |
$198.87 |