Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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IDABEL TEG LLC

NPI: 1104533009 · IDABEL, OK 74745 · Eyewear Supplier

$1K
Total Medicaid Paid
196
Total Claims
196
Beneficiaries
3
Codes Billed
2023-07
First Month
2024-07
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 119 $988.00
2024 77 $440.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 87 87 $870.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 25 25 $558.00
V2784 Lens, polycarbonate or equal, any index, per lens 84 84 $0.00