DJ-MN INC
NPI: 1124179049
· MONTICELLO, MN 55362
· Optician
· NPI assigned 01/16/2007
$107K
Total Medicaid Paid
Provider Details
| Authorized Official | THELEN, JANE (OWNER) |
| NPI Enumeration Date | 01/16/2007 |
Related Entities
Other providers sharing the same authorized official: THELEN, JANE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
28 |
$544.02 |
| 2020 |
38 |
$826.24 |
| 2021 |
129 |
$4K |
| 2022 |
370 |
$10K |
| 2023 |
1,645 |
$55K |
| 2024 |
1,130 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
470 |
427 |
$22K |
| V2020 |
Frames, purchases |
584 |
524 |
$19K |
| 92014 |
|
236 |
215 |
$18K |
| 92340 |
|
573 |
523 |
$13K |
| 92250 |
|
577 |
539 |
$13K |
| 92004 |
|
118 |
110 |
$9K |
| 92015 |
|
620 |
581 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
162 |
91 |
$5K |