MYEYEDR OPTOMETRY OF INDIANA, LLC
NPI: 1083100424
· LEBANON, IN 46052
· 152W00000X
$400K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$325.60 |
| 2019 |
54 |
$1K |
| 2020 |
1,148 |
$47K |
| 2021 |
3,006 |
$123K |
| 2022 |
2,326 |
$89K |
| 2023 |
1,935 |
$72K |
| 2024 |
1,155 |
$67K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,863 |
1,559 |
$142K |
| 92004 |
|
1,050 |
910 |
$103K |
| V2020 |
Vision svcs frames purchases |
2,336 |
2,199 |
$69K |
| V2100 |
Lens spher single plano 4.00 |
1,294 |
1,185 |
$45K |
| 92015 |
|
3,029 |
2,768 |
$39K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
43 |
43 |
$2K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
15 |
14 |
$690.80 |
| V2750 |
Anti-reflective coating |
16 |
14 |
$77.32 |
| V2784 |
Lens polycarb or equal |
18 |
17 |
$0.00 |