CLARK OPTOMETRIC CENTER OF SC, P.A.
NPI: 1063981900
· SIMPSONVILLE, SC 29681
· 152W00000X
$207K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,733 |
$59K |
| 2020 |
1,902 |
$61K |
| 2021 |
1,497 |
$49K |
| 2022 |
942 |
$31K |
| 2023 |
192 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,202 |
1,201 |
$84K |
| 92004 |
|
597 |
591 |
$48K |
| 92015 |
|
2,266 |
2,254 |
$33K |
| 92340 |
|
1,360 |
1,356 |
$23K |
| 92250 |
|
315 |
315 |
$8K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
308 |
307 |
$6K |
| V2784 |
Lens polycarb or equal |
187 |
187 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
31 |
31 |
$205.70 |