NICOSIA, DANIELA
NPI: 1902894579
· LUKE AFB, AZ 85307
· Optometrist
· NPI assigned 10/07/2005
$264.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
89 |
$264.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
16 |
$264.00 |
| V2020 |
Frames, purchases |
30 |
30 |
$0.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
31 |
31 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$0.00 |