BALLSTON OPTOMETRY, LLC
NPI: 1083779094
· ARLINGTON, VA 22203
· 152W00000X
$258K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
53 |
$229.46 |
| 2019 |
1,024 |
$23K |
| 2020 |
728 |
$21K |
| 2021 |
1,473 |
$41K |
| 2022 |
1,491 |
$53K |
| 2023 |
1,639 |
$55K |
| 2024 |
1,600 |
$65K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,073 |
1,045 |
$86K |
| 92004 |
|
1,029 |
996 |
$74K |
| V2020 |
Vision svcs frames purchases |
1,598 |
1,560 |
$47K |
| 92015 |
|
1,519 |
1,446 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
1,179 |
1,122 |
$16K |
| 92340 |
|
860 |
834 |
$11K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
68 |
62 |
$4K |
| V2784 |
Lens polycarb or equal |
513 |
496 |
$2K |
| V2750 |
Anti-reflective coating |
157 |
153 |
$740.91 |
| V2025 |
Eyeglasses delux frames |
12 |
12 |
$252.18 |