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OPTICAL DEPT. OF EYE CLINIC OF RACINE, LTD.
OPTICAL DEPT. OF EYE CLINIC OF RACINE, LTD.
NPI: 1629049150
· RACINE, WI 53405
· 332H00000X
$677.86
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
30 |
$677.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92341 |
|
16 |
14 |
$379.96 |
| 92340 |
|
14 |
14 |
$297.90 |