BLACK HILLS VISION CARE PROF LLC
NPI: 1497944953
· BELLE FOURCHE, SD 57717
· 152W00000X
$133K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
700 |
$31K |
| 2019 |
631 |
$28K |
| 2020 |
254 |
$11K |
| 2021 |
528 |
$23K |
| 2022 |
552 |
$28K |
| 2023 |
341 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,018 |
982 |
$89K |
| 92004 |
|
242 |
237 |
$27K |
| 92015 |
|
1,733 |
1,626 |
$17K |
| 92250 |
|
13 |
12 |
$613.42 |