ALLOPLASTIC RECONSTRUCTION
NPI: 1598049744
· LITTLE ROCK, AR 72205
· Anaplastologist
· NPI assigned 10/06/2011
$185K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
134 |
$26K |
| 2019 |
484 |
$22K |
| 2020 |
335 |
$14K |
| 2021 |
382 |
$23K |
| 2022 |
370 |
$30K |
| 2023 |
502 |
$29K |
| 2024 |
475 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| L7520 |
Repair prosthetic device, labor component, per 15 minutes |
1,781 |
1,209 |
$85K |
| V2628 |
Fabrication and fitting of ocular conformer |
173 |
114 |
$35K |
| V2623 |
Prosthetic eye, plastic, custom |
67 |
50 |
$33K |
| V2624 |
Polishing/resurfacing of ocular prosthesis |
661 |
515 |
$32K |