BROCKINGTON, JASMINE
NPI: 1649967035
· FLORENCE, SC 29505
· Optician
· NPI assigned 04/18/2023
$613.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
40 |
$613.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
17 |
$310.00 |
| V2020 |
Frames, purchases |
23 |
23 |
$303.00 |