TIMOTHY H. MOON, O.D. INC.
NPI: 1518231885
· HONOLULU, HI 96814
· 152W00000X
$582K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,748 |
$63K |
| 2019 |
3,760 |
$92K |
| 2020 |
3,052 |
$71K |
| 2021 |
4,039 |
$93K |
| 2022 |
3,418 |
$75K |
| 2023 |
3,805 |
$80K |
| 2024 |
3,619 |
$107K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
3,398 |
3,204 |
$103K |
| 92083 |
|
3,677 |
3,467 |
$94K |
| 68761 |
|
2,699 |
586 |
$87K |
| 92250 |
|
3,433 |
3,226 |
$79K |
| V2020 |
Vision svcs frames purchases |
564 |
483 |
$39K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
679 |
514 |
$31K |
| 92015 |
|
3,082 |
2,896 |
$29K |
| 92273 |
|
352 |
258 |
$26K |
| 99214 |
|
343 |
323 |
$19K |
| 92133 |
|
1,015 |
946 |
$16K |
| 92340 |
|
601 |
523 |
$14K |
| V2025 |
Eyeglasses delux frames |
284 |
251 |
$9K |
| 92004 |
|
156 |
150 |
$9K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
98 |
68 |
$7K |
| 92225 |
|
538 |
314 |
$7K |
| 92012 |
|
166 |
146 |
$3K |
| 92132 |
|
1,072 |
996 |
$3K |
| V2756 |
Eye glass case |
1,500 |
1,347 |
$3K |
| 92341 |
|
77 |
77 |
$2K |
| V2750 |
Anti-reflective coating |
28 |
24 |
$265.76 |
| 76514 |
|
13 |
13 |
$132.39 |
| 99072 |
|
12 |
12 |
$36.06 |
| A4550 |
Surgical trays |
101 |
79 |
$20.64 |
| A4262 |
Temporary tear duct plug |
553 |
442 |
$0.00 |