DARYL G. CUSTRED, O.D., L.L.C.
NPI: 1891972352
· JASPER, AL 35504
· Optometrist
· NPI assigned 01/28/2008
$853.20
Total Medicaid Paid
Provider Details
| Authorized Official | CUSTRED, DARYL (MANAGER) |
| NPI Enumeration Date | 01/28/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$853.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$736.20 |
| 92015 |
Determination of refractive state |
13 |
13 |
$117.00 |