SYLVIA ARCOS, OD A PROFESSIONAL CORP.
NPI: 1578920310
· PICO RIVERA, CA 90660
· 305R00000X
$172.49
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
85 |
$136.44 |
| 2019 |
89 |
$36.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
122 |
122 |
$136.99 |
| 92004 |
|
28 |
28 |
$35.50 |
| V2020 |
Vision svcs frames purchases |
12 |
12 |
$0.00 |
| 92340 |
|
12 |
12 |
$0.00 |