LUXE VISION UTAH LLC
NPI: 1568002780
· KAYSVILLE, UT 84037
· Optometrist
· NPI assigned 01/15/2020
Provider Details
| Authorized Official | HAUCK, MATT (MANAGER) |
| NPI Enumeration Date | 01/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
66 |
$94.15 |
| 2021 |
715 |
$5K |
| 2022 |
225 |
$580.29 |
| 2023 |
60 |
$0.00 |
| 2024 |
125 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
477 |
387 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
123 |
120 |
$94.02 |
| 2023F |
|
13 |
12 |
$94.02 |
| 92015 |
Determination of refractive state |
476 |
391 |
$0.00 |
| 92250 |
|
102 |
99 |
$0.00 |