DEMOSS, MARY
NPI: 1912958539
· CANYON LAKE, CA 92587
· Optometrist
· NPI assigned 05/16/2006
$773.29
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
52 |
$773.29 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
17 |
16 |
$326.06 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16 |
15 |
$310.24 |
| 92015 |
Determination of refractive state |
19 |
19 |
$136.99 |