CHARLES H. RUTAN, O.D.
NPI: 1639347743
· CLINTON, IN 47842
· Eyewear Supplier
· NPI assigned 02/12/2008
$938.48
Total Medicaid Paid
Provider Details
| Authorized Official | RUTAN, CHARLES (OWNER / OPTOMETRIST) |
| NPI Enumeration Date | 02/12/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
89 |
$938.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
47 |
47 |
$571.73 |
| 92015 |
Determination of refractive state |
42 |
42 |
$366.75 |