RICE MOBILE OD TN LLC
NPI: 1457847782
· SOUTH FULTON, TN 38257
· Optometrist
· NPI assigned 07/10/2018
$46.34
Total Medicaid Paid
Provider Details
| Authorized Official | RICE, CHARLES (OWNER) |
| NPI Enumeration Date | 07/10/2018 |
Related Entities
Other providers sharing the same authorized official: RICE, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$0.00 |
| 2019 |
44 |
$46.34 |
| 2020 |
47 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
50 |
47 |
$46.34 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
69 |
69 |
$0.00 |