Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HAVILAND, SHELBY
NPI: 1013438050 · BRYANT, AR 72022 ·
152W00000X
$2K
Total Medicaid Paid
180
Total Claims
179
Beneficiaries
3
Codes Billed
2018-01
First Month
2018-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
180
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2100
Lens spher single plano 4.00
39
39
$780.00
V2020
Vision svcs frames purchases
78
78
$760.00
V2784
Lens polycarb or equal
63
62
$236.00