WIN VISION BOUTIQUE LLC
NPI: 1871058388
· CLIFTON PARK, NY 12065
· 156FX1100X
$948.59
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
49 |
$948.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92286 |
|
16 |
15 |
$333.33 |
| 92250 |
|
17 |
16 |
$332.48 |
| 92025 |
|
16 |
16 |
$282.78 |