SIDES, LESLIE
NPI: 1871163675
· WEST PLAINS, MO 65775
· Optometrist
· NPI assigned 06/25/2021
$385.33
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
25 |
$130.33 |
| 2024 |
38 |
$255.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
39 |
38 |
$221.33 |
| V2020 |
Frames, purchases |
12 |
12 |
$120.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$44.00 |