COEUR D ALENE OPTICAL, INC.
NPI: 1093851081
· COEUR D ALENE, ID 83814
· Eyewear Supplier
· NPI assigned 01/29/2007
$116K
Total Medicaid Paid
Provider Details
| Authorized Official | SINES, DEDE (ADMINISTRATOR) |
| NPI Enumeration Date | 01/29/2007 |
Related Entities
Other providers sharing the same authorized official: SINES, DEDE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
703 |
$15K |
| 2019 |
886 |
$21K |
| 2020 |
755 |
$18K |
| 2021 |
767 |
$18K |
| 2022 |
649 |
$15K |
| 2023 |
677 |
$16K |
| 2024 |
561 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,998 |
4,859 |
$116K |