Medicaid Provider Spending

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

SMART OPTICAL, INC

NPI: 1396878484 · CHICAGO, IL 60616 · Optician · NPI assigned 03/14/2007

$24K
Total Medicaid Paid
562
Total Claims
561
Beneficiaries
4
Codes Billed
2018-04
First Month
2018-08
Last Month

Provider Details

Authorized OfficialWONG, SHUI (OPTICIAN)
NPI Enumeration Date03/14/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 562 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 186 186 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 128 128 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 103 103 $5K
V2025 Deluxe frame 145 144 $2K