IRWIN, SALLY
NPI: 1417118183
· MANHATTAN, KS 66503
· Optometrist
· NPI assigned 06/24/2008
$797.64
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
45 |
$797.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
15 |
15 |
$413.16 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$283.68 |
| 92015 |
Determination of refractive state |
18 |
17 |
$100.80 |