OPTOMETRIC CENTERS
NPI: 1528277175
· MORENO VALLEY, CA 92553
· Optometrist
· NPI assigned 05/21/2007
$123K
Total Medicaid Paid
Provider Details
| Authorized Official | CLAYTON, ETHAN (OPTOMOTRIST) |
| NPI Enumeration Date | 05/21/2007 |
Related Entities
Other providers sharing the same authorized official: CLAYTON, ETHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,412 |
$120K |
| 2019 |
139 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
989 |
983 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
729 |
728 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
995 |
992 |
$21K |
| V2020 |
Frames, purchases |
1,014 |
1,014 |
$21K |
| 92015 |
Determination of refractive state |
1,741 |
1,726 |
$14K |
| 92250 |
|
67 |
67 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
15 |
$380.16 |