CHESTERFIELD OPTOMETRIC CENTER, PC
NPI: 1477698819
· CHESTERFIELD, VA 23832
· 152W00000X
$493K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
148 |
$7K |
| 2019 |
1,661 |
$53K |
| 2020 |
2,214 |
$65K |
| 2021 |
3,751 |
$104K |
| 2022 |
3,580 |
$98K |
| 2023 |
3,096 |
$104K |
| 2024 |
1,096 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
|
4,196 |
4,095 |
$214K |
| 92014 |
|
3,002 |
2,866 |
$145K |
| V2020 |
Vision svcs frames purchases |
1,665 |
1,653 |
$58K |
| V2100 |
Lens spher single plano 4.00 |
810 |
809 |
$22K |
| V2410 |
Lens variab asphericity sing |
178 |
177 |
$17K |
| 92015 |
|
3,863 |
3,527 |
$15K |
| V2784 |
Lens polycarb or equal |
1,352 |
1,340 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
100 |
100 |
$5K |
| V2025 |
Eyeglasses delux frames |
50 |
50 |
$3K |
| 92250 |
|
14 |
12 |
$266.91 |
| V2750 |
Anti-reflective coating |
13 |
13 |
$69.45 |
| V2755 |
Uv lens/es |
44 |
44 |
$32.89 |
| 99199 |
|
259 |
259 |
$0.00 |