KICKAPOO MANAGEMENT LLC
NPI: 1568849073
· PERRY, UT 84302
· Eyewear Supplier
· NPI assigned 05/05/2015
$18.00
Total Medicaid Paid
Provider Details
| Authorized Official | REED, PAUL (MANAGING MEMBER) |
| NPI Enumeration Date | 05/05/2015 |
Related Entities
Other providers sharing the same authorized official: REED, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$0.00 |
| 2023 |
12 |
$18.00 |
| 2024 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
39 |
39 |
$18.00 |