MATT GRANTHAM, OD, PC
NPI: 1124174966
· POTEAU, OK 74953
· Optometrist
· NPI assigned 01/26/2007
$337K
Total Medicaid Paid
Provider Details
| Authorized Official | GRANTHAM, DANA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/26/2007 |
Related Entities
Other providers sharing the same authorized official: GRANTHAM, DANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,817 |
$57K |
| 2019 |
1,541 |
$46K |
| 2020 |
1,445 |
$50K |
| 2021 |
1,380 |
$44K |
| 2022 |
1,530 |
$53K |
| 2023 |
1,509 |
$53K |
| 2024 |
930 |
$34K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,195 |
1,195 |
$112K |
| 92004 |
|
643 |
643 |
$78K |
| 92340 |
|
1,602 |
1,589 |
$48K |
| 92015 |
|
1,872 |
1,871 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,183 |
1,170 |
$31K |
| V2020 |
Frames, purchases |
1,725 |
1,699 |
$17K |
| 92012 |
|
242 |
237 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,690 |
1,682 |
$0.00 |