MUSIC CITY EYE CARE LLC
NPI: 1841605375
· SHELBYVILLE, TN 37160
· Optometrist
· NPI assigned 06/23/2014
$899.83
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: JOHNSON, TRAVIS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
34 |
$899.83 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$739.83 |
| 92015 |
Determination of refractive state |
18 |
18 |
$160.00 |