PARK PLACE OPTICAL, LTD
NPI: 1255465738
· APPLETON, WI 54914
· 156FX1800X
$245K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,999 |
$22K |
| 2019 |
3,970 |
$33K |
| 2020 |
3,319 |
$34K |
| 2021 |
3,434 |
$30K |
| 2022 |
3,511 |
$31K |
| 2023 |
4,033 |
$41K |
| 2024 |
3,038 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
|
6,714 |
5,813 |
$174K |
| 92341 |
|
1,919 |
1,792 |
$52K |
| V2025 |
Eyeglasses delux frames |
3,733 |
3,035 |
$11K |
| V2020 |
Vision svcs frames purchases |
4,120 |
3,240 |
$5K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
2,001 |
1,544 |
$2K |
| V2784 |
Lens polycarb or equal |
4,562 |
3,730 |
$745.00 |
| V2100 |
Lens spher single plano 4.00 |
659 |
556 |
$0.00 |
| V2781 |
Progressive lens per lens |
56 |
36 |
$0.00 |
| V2200 |
Lens spher bifoc plano 4.00d |
14 |
14 |
$0.00 |
| V2750 |
Anti-reflective coating |
492 |
401 |
$0.00 |
| V2520 |
Contact lens hydrophilic |
34 |
16 |
$0.00 |