STUART, WALLACE
NPI: 1740316173
· SONORA, CA 95370
· Optometrist
· NPI assigned 02/27/2007
$519.73
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
27 |
$519.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$426.00 |
| 92015 |
Determination of refractive state |
14 |
14 |
$93.73 |