Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LG OPTICAL ENTERPRISES
NPI: 1306016407 · BROOKINGS, SD 57006 ·
332H00000X
$54K
Total Medicaid Paid
912
Total Claims
778
Beneficiaries
5
Codes Billed
2018-02
First Month
2019-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
426
$23K
2019
486
$30K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92014
318
290
$25K
V2199
Lens single vision not oth c
271
218
$14K
V2020
Vision svcs frames purchases
265
217
$12K
92004
45
41
$3K
92015
13
12
$114.30