NOCONA VISION PLLC
NPI: 1811601115
· BROKEN ARROW, OK 74012
· Optometrist
· NPI assigned 01/11/2023
$475.25
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
50 |
$475.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
35 |
$448.25 |
| 92250 |
|
15 |
15 |
$27.00 |