WESTERN UPPER MICHIGAN EYE CARE LLC
NPI: 1891013041
· IRON RIVER, MI 49935
· Optometrist
· NPI assigned 05/12/2010
$939.10
Total Medicaid Paid
Provider Details
| Authorized Official | GOFFNETT, CAROL (BOARD OF MANAGERS) |
| NPI Enumeration Date | 05/12/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
63 |
$939.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
26 |
26 |
$525.46 |
| 92015 |
Determination of refractive state |
37 |
36 |
$413.64 |