DELICCE, VICTOR
NPI: 1689875742
· SEAFORD, NY 11783
· Optometrist
· NPI assigned 05/29/2007
$732.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
36 |
$732.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$570.00 |
| V2020 |
Frames, purchases |
12 |
12 |
$162.00 |