Medicaid Provider Spending

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

SANTA YNEZ VALLEY VISION SOURCE INC

NPI: 1124167903 · SOLVANG, CA 93463 · Optometrist · NPI assigned 02/06/2007

$5K
Total Medicaid Paid
134
Total Claims
134
Beneficiaries
4
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialBALES, DENNIS (PRESIDENT)
NPI Enumeration Date02/06/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 134 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 54 54 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 45 45 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 18 18 $603.00
V2020 Frames, purchases 17 17 $362.27