DESANDO, MARY
NPI: 1417969528
· CARBONDALE, PA 18407
· Optometrist
· NPI assigned 08/13/2006
$482.35
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
38 |
$482.35 |
| 2022 |
47 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$482.35 |
| 92015 |
Determination of refractive state |
72 |
72 |
$0.00 |