EYE WISCONSIN LLC
NPI: 1487392585
· WATERFORD, WI 53185
· Optometrist
· NPI assigned 05/27/2022
$214.04
Total Medicaid Paid
Provider Details
| Authorized Official | GRANT, BRADLEY (OWNER / OPTOMETRIST) |
| NPI Enumeration Date | 05/27/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
40 |
$214.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
17 |
12 |
$124.31 |
| 92015 |
Determination of refractive state |
23 |
16 |
$89.73 |