BUI, TINA
NPI: 1497107312
· LA MESA, CA 91942
· Optometrist
· NPI assigned 07/02/2016
$868.62
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
52 |
$868.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$710.00 |
| 92015 |
Determination of refractive state |
27 |
27 |
$158.62 |