DAYTON OPTOMETRIC CENTER INC.
NPI: 1194722603
· DAYTON, OH 45404
· 152W00000X
$828K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,789 |
$297K |
| 2019 |
10,506 |
$290K |
| 2020 |
3,680 |
$99K |
| 2021 |
2,927 |
$68K |
| 2022 |
1,974 |
$45K |
| 2023 |
1,018 |
$24K |
| 2024 |
278 |
$5K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
5,136 |
4,811 |
$200K |
| 92015 |
|
10,053 |
9,382 |
$170K |
| 92340 |
|
4,462 |
4,234 |
$90K |
| 92004 |
|
1,825 |
1,717 |
$83K |
| 99214 |
|
1,370 |
1,301 |
$74K |
| 99213 |
|
1,750 |
1,639 |
$62K |
| 92341 |
|
2,312 |
2,111 |
$57K |
| V2020 |
Vision svcs frames purchases |
1,171 |
1,082 |
$27K |
| 92250 |
|
1,010 |
949 |
$25K |
| 92133 |
|
813 |
764 |
$11K |
| 92083 |
|
486 |
446 |
$10K |
| V2784 |
Lens polycarb or equal |
1,098 |
987 |
$10K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
136 |
108 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
131 |
100 |
$3K |
| 99203 |
|
13 |
12 |
$660.23 |
| V2200 |
Lens spher bifoc plano 4.00d |
13 |
12 |
$434.70 |
| 3072F |
|
59 |
44 |
$0.08 |
| G8427 |
Docrev cur meds by elig clin |
168 |
138 |
$0.00 |
| 2022F |
|
49 |
42 |
$0.00 |
| G8783 |
Bp scrn perf rec interval |
19 |
18 |
$0.00 |
| 4004F |
|
13 |
12 |
$0.00 |
| 1036F |
|
85 |
72 |
$0.00 |