KEITH J. CASTLETON, OD, PLLC
NPI: 1578842464
· LEHI, UT 84043
· Optometrist
· NPI assigned 08/09/2011
$14.34
Total Medicaid Paid
Provider Details
| Authorized Official | CASTLETON, KEITH (OPTOMETRIST) |
| NPI Enumeration Date | 08/09/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
60 |
$0.00 |
| 2020 |
93 |
$14.34 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
75 |
65 |
$14.34 |
| 92015 |
Determination of refractive state |
78 |
69 |
$0.00 |