THE SPEC SHOP OPHTHALMIC DISPENSER, PLLC
NPI: 1144710708
· BUFFALO, NY 14209
· 156FX1100X
$169K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
141 |
$2K |
| 2019 |
997 |
$10K |
| 2020 |
2,180 |
$16K |
| 2021 |
3,629 |
$32K |
| 2022 |
4,126 |
$36K |
| 2023 |
4,195 |
$35K |
| 2024 |
4,062 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,351 |
1,647 |
$66K |
| V2020 |
Vision svcs frames purchases |
4,545 |
4,436 |
$49K |
| V2100 |
Lens spher single plano 4.00 |
1,078 |
526 |
$21K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
485 |
242 |
$13K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
331 |
165 |
$6K |
| 92341 |
|
297 |
297 |
$6K |
| 92340 |
|
273 |
269 |
$4K |
| V2784 |
Lens polycarb or equal |
8,896 |
4,350 |
$3K |
| V2107 |
Spherocylinder 4.25d/12-2d |
74 |
37 |
$1K |