HOLSCLAW-JONES OD PLLC, TAMMY
NPI: 1891831160
· ELIZABETHTON, TN 37643
· 152W00000X
$180.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
55 |
$180.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
16 |
12 |
$180.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
13 |
12 |
$0.00 |
| V2784 |
Lens polycarb or equal |
13 |
12 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
13 |
12 |
$0.00 |