JAEHOON LEE OPTOMETRY CORP
NPI: 1891347076
· RANCHO MIRAGE, CA 92270
· Optometrist
· NPI assigned 07/09/2019
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JAEHOON (CEO) |
| NPI Enumeration Date | 07/09/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
475 |
$13K |
| 2022 |
504 |
$12K |
| 2023 |
371 |
$9K |
| 2024 |
2,366 |
$66K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
676 |
675 |
$31K |
| 92250 |
|
620 |
617 |
$25K |
| V2020 |
Frames, purchases |
724 |
713 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
574 |
571 |
$13K |
| 92015 |
Determination of refractive state |
934 |
931 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
176 |
176 |
$7K |
| 92341 |
|
12 |
12 |
$362.02 |