CENTREVILLE OPTOMETRY, LLC
NPI: 1306037734
· CENTREVILLE, VA 20121
· 152W00000X
$110K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
55 |
$2K |
| 2020 |
49 |
$2K |
| 2021 |
306 |
$10K |
| 2022 |
212 |
$10K |
| 2023 |
783 |
$32K |
| 2024 |
1,494 |
$53K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
682 |
653 |
$46K |
| V2020 |
Vision svcs frames purchases |
623 |
608 |
$25K |
| 92014 |
|
356 |
343 |
$24K |
| 92015 |
|
765 |
743 |
$6K |
| V2100 |
Lens spher single plano 4.00 |
246 |
241 |
$5K |
| V2784 |
Lens polycarb or equal |
125 |
124 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
12 |
12 |
$1K |
| V2025 |
Eyeglasses delux frames |
29 |
28 |
$724.55 |
| 92340 |
|
37 |
37 |
$646.00 |
| V2750 |
Anti-reflective coating |
24 |
24 |
$575.55 |