KELLER, MATTHEW
NPI: 1700328762
· PHOENIX, AZ 85035
· Optometrist
· NPI assigned 11/08/2016
$132.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
152 |
$132.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
36 |
$132.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
52 |
52 |
$0.00 |
| V2020 |
Frames, purchases |
51 |
51 |
$0.00 |
| 92015 |
Determination of refractive state |
13 |
13 |
$0.00 |