SMITH, ANDRE
NPI: 1487681540
· BALTIMORE, MD 21215
· Optician
· NPI assigned 06/26/2006
$331.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
227 |
$331.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
146 |
57 |
$171.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
81 |
32 |
$160.00 |