Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

LG OPTICAL ENTERPRISES

NPI: 1306016407 · BROOKINGS, SD 57006 · Eyewear Supplier · NPI assigned 03/04/2008

$54K
Total Medicaid Paid
912
Total Claims
778
Beneficiaries
5
Codes Billed
2018-02
First Month
2019-12
Last Month

Provider Details

Authorized OfficialGANNON, LYNN (OWNER)
NPI Enumeration Date03/04/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 426 $23K
2019 486 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 318 290 $25K
V2199 Not otherwise classified, single vision lens 271 218 $14K
V2020 Frames, purchases 265 217 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 45 41 $3K
92015 Determination of refractive state 13 12 $114.30