Medicaid Provider Spending

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

OPTICAL BOUTIQUE AND EYECARE

NPI: 1407472376 · DESOTO, TX 75115 · Corneal and Contact Management Optometrist · NPI assigned 06/17/2020

$3K
Total Medicaid Paid
121
Total Claims
108
Beneficiaries
2
Codes Billed
2021-04
First Month
2024-03
Last Month

Provider Details

Authorized OfficialGLOSTER, DANIELLE (OWNER)
NPI Enumeration Date06/17/2020

Related Entities

Other providers sharing the same authorized official: GLOSTER, DANIELLE

ProviderCityStateTotal Paid
EYE ENVY VISION INC AURORA CO $44K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 58 $2K
2022 31 $1K
2023 20 $130.05
2024 12 $141.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0620 Routine ophthalmological examination including refraction; new patient 75 69 $3K
V2020 Frames, purchases 46 39 $406.77