MUDD, JACKELLEYN
NPI: 1609305580
· BOWLING GREEN, MO 63334
· Optometrist
· NPI assigned 06/05/2017
$745.19
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
36 |
$745.19 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
19 |
14 |
$655.77 |
| 92015 |
Determination of refractive state |
17 |
16 |
$89.42 |