Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HERMITAGE
› DAVIS, ALETTE
DAVIS, ALETTE
NPI: 1346401007 · HERMITAGE, TN 37076 ·
152W00000X
$3K
Total Medicaid Paid
182
Total Claims
145
Beneficiaries
6
Codes Billed
2019-07
First Month
2020-06
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
170
$2K
2020
12
$265.15
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92014
18
18
$1K
92015
37
37
$1K
92340
22
21
$563.70
V2020
Vision svcs frames purchases
28
27
$0.00
V2784
Lens polycarb or equal
42
24
$0.00
V2100
Lens spher single plano 4.00
35
18
$0.00