RAYMOND F PEDERSEN O.D. PROFESSIONAL
NPI: 1467589077
· FREMONT, CA 94536
· 152W00000X
$101.01
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
280 |
$101.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
133 |
133 |
$43.26 |
| V2020 |
Vision svcs frames purchases |
40 |
40 |
$38.36 |
| 92340 |
|
38 |
38 |
$19.39 |
| 92004 |
|
44 |
44 |
$0.00 |
| 92014 |
|
25 |
25 |
$0.00 |