BENTONVILLE EYE CARE PLLC
NPI: 1083984116
· BENTONVILLE, AR 72712
· Optometrist
· NPI assigned 01/05/2012
Deactivated NPI
· This NPI was deactivated on 09/30/2025. Reactivated 12/15/2025.
$300K
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, SARAH (CREDENTIALING SPECIALIST) |
| Parent Organization | BENTONVILLE EYE CARE PLLC |
| NPI Enumeration Date | 01/05/2012 |
Related Entities
Other providers sharing the same authorized official: NELSON, SARAH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
285 |
$11K |
| 2020 |
790 |
$33K |
| 2021 |
1,519 |
$64K |
| 2022 |
1,504 |
$62K |
| 2023 |
1,736 |
$74K |
| 2024 |
1,443 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,978 |
1,853 |
$88K |
| 92015 |
Determination of refractive state |
2,818 |
2,636 |
$83K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,491 |
1,396 |
$69K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
990 |
920 |
$60K |