REYES, AGUEDITA
NPI: 1902040876
· BAYAMON, PR 00961
· Technician/Technologist
· NPI assigned 04/23/2009
$760.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
51 |
$760.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$409.50 |
| 92015 |
Determination of refractive state |
13 |
13 |
$351.00 |
| V2744 |
Tint, photochromatic, per lens |
12 |
12 |
$0.00 |
| V2025 |
Deluxe frame |
13 |
13 |
$0.00 |