Medicaid Provider Spending

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

NORTHEASTERN STATE UNIVERSITY COLLEGE OF OPTOMETRY

NPI: 1437106333 · TAHLEQUAH, OK 74464 · Corneal and Contact Management Optometrist · NPI assigned 05/27/2006

$1K
Total Medicaid Paid
124
Total Claims
124
Beneficiaries
4
Codes Billed
2022-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialPENISTEN, DOUGLAS (DEAN)
NPI Enumeration Date05/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 12 $120.00
2024 112 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92340 Fitting of spectacles, except for aphakia; monofocal 25 25 $712.00
V2020 Frames, purchases 49 49 $490.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $279.00
V2784 Lens, polycarbonate or equal, any index, per lens 38 38 $0.00