DARYL G. CUSTRED, O.D., L.L.C.
NPI: 1891972352
· JASPER, AL 35504
· 152W00000X
$853.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$853.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
13 |
13 |
$736.20 |
| 92015 |
|
13 |
13 |
$117.00 |