WISE, KATHRYN
NPI: 1487797213
· NEWARK, OH 43055
· Optometrist
· NPI assigned 02/14/2007
$852.44
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
58 |
$852.44 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$323.44 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
12 |
$278.00 |
| V2020 |
Frames, purchases |
17 |
16 |
$251.00 |
| 92015 |
Determination of refractive state |
14 |
13 |
$0.00 |