SANFORD FAMILY EYECARE PC
NPI: 1154604288
· SPRINGVALE, ME 04083
· 152W00000X
$105K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
720 |
$28K |
| 2019 |
1,185 |
$32K |
| 2020 |
1,004 |
$19K |
| 2021 |
1,200 |
$20K |
| 2022 |
173 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
1,704 |
1,411 |
$42K |
| 92004 |
|
762 |
641 |
$35K |
| 92014 |
|
659 |
527 |
$23K |
| 92340 |
|
487 |
423 |
$6K |
| 92015 |
|
493 |
419 |
$32.00 |
| V2784 |
Lens polycarb or equal |
83 |
81 |
$0.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
13 |
12 |
$0.00 |
| V2020 |
Vision svcs frames purchases |
81 |
79 |
$0.00 |