BAUTISTA, DEISY
NPI: 1821349176
· ROWLETT, TX 75088
· Optometrist
· NPI assigned 09/26/2012
$104K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
167 |
$6K |
| 2021 |
969 |
$35K |
| 2022 |
814 |
$26K |
| 2023 |
545 |
$17K |
| 2024 |
608 |
$20K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,644 |
1,640 |
$69K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
748 |
746 |
$18K |
| V2020 |
Frames, purchases |
711 |
709 |
$16K |