PROGRESSIVE EYE CARE, LLC
NPI: 1922282599
· SOUTH JORDAN, UT 84095
· Optometrist
· NPI assigned 12/19/2007
$929.90
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
29 |
$929.90 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
14 |
$929.90 |
| 92015 |
Determination of refractive state |
15 |
15 |
$0.00 |