Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SOUTH JORDAN › STANDARD OPTICAL CO

STANDARD OPTICAL CO

NPI: 1114377165 · SOUTH JORDAN, UT 84009 · 152W00000X

$27K
Total Medicaid Paid
1,224
Total Claims
1,216
Beneficiaries
7
Codes Billed
2018-04
First Month
2024-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $0.00
2019 18 $0.00
2020 120 $3K
2021 371 $12K
2022 287 $8K
2023 369 $3K
2024 47 $121.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 211 210 $18K
92004 64 63 $5K
V2020 Vision svcs frames purchases 208 207 $2K
92015 495 491 $1K
V2755 Uv lens/es 157 156 $340.00
92014 62 62 $295.31
V2103 Spherocylindr 4.00d/12-2.00d 27 27 $49.96