AEG PENNSYLVANIA PROFESSIONAL, INC
NPI: 1699270124
· PITTSBURGH, PA 15241
· Optometrist
· NPI assigned 03/27/2018
$480.00
Total Medicaid Paid
Provider Details
| Authorized Official | CHUDNER, BENJAMIN (OWNER) |
| Parent Organization | AEG PENNSYLVANIA PROFESSIONAL, INC |
| NPI Enumeration Date | 03/27/2018 |
Related Entities
Other providers sharing the same authorized official: CHUDNER, BENJAMIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
12 |
$480.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$480.00 |