DACANAL, MARY
NPI: 1528054285
· JOHNSONBURG, PA 15845
· Optometrist
· NPI assigned 09/27/2005
$162K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
116 |
$5K |
| 2021 |
936 |
$38K |
| 2022 |
1,127 |
$46K |
| 2023 |
1,140 |
$49K |
| 2024 |
576 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,111 |
1,091 |
$62K |
| V2020 |
Frames, purchases |
1,350 |
1,331 |
$56K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,377 |
1,364 |
$41K |
| S0500 |
Disposable contact lens, per lens |
13 |
13 |
$850.00 |
| 92250 |
|
12 |
12 |
$619.55 |
| S0592 |
Comprehensive contact lens evaluation |
16 |
16 |
$549.00 |
| 92015 |
Determination of refractive state |
16 |
16 |
$19.80 |