Medicaid Provider Spending

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

C WALLACE LILES III O D LLC

NPI: 1376948687 · DE QUEEN, AR 71832 · Optometrist · NPI assigned 10/29/2014

$87K
Total Medicaid Paid
1,668
Total Claims
1,631
Beneficiaries
3
Codes Billed
2018-01
First Month
2019-04
Last Month

Provider Details

Authorized OfficialLILES, C (OWNER)
NPI Enumeration Date10/29/2014

Related Entities

Other providers sharing the same authorized official: LILES, C

ProviderCityStateTotal Paid
C WALLACE LILES III O D LLC MENA AR $94K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,294 $67K
2019 374 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 843 825 $40K
S0621 Routine ophthalmological examination including refraction; established patient 588 573 $33K
S0620 Routine ophthalmological examination including refraction; new patient 237 233 $13K