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DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.
DR DANIEL J DIETERICHS, OPTOMETRISTS, P.C.
NPI: 1518147602
· BELEN, NM 87002
· 152W00000X
$400K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,322 |
$293K |
| 2019 |
3,197 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,282 |
1,277 |
$123K |
| 92014 |
|
1,500 |
1,494 |
$109K |
| 92340 |
|
1,678 |
1,665 |
$63K |
| 99213 |
|
578 |
535 |
$26K |
| V2020 |
Vision svcs frames purchases |
1,482 |
1,471 |
$25K |
| 92015 |
|
2,695 |
2,687 |
$16K |
| V2784 |
Lens polycarb or equal |
429 |
428 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
984 |
983 |
$10K |
| 92341 |
|
122 |
122 |
$5K |
| 92083 |
|
73 |
65 |
$4K |
| 92133 |
|
55 |
52 |
$2K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
174 |
173 |
$1K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
74 |
72 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
136 |
136 |
$1K |
| V2105 |
Spherocylinder 4.00d/4.25-6d |
26 |
25 |
$372.45 |
| 1036F |
|
25 |
25 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
206 |
193 |
$0.00 |