Dacanal, Mary
Dacanal, Mary was paid $162K by Medicaid between Nov 2020 and Jun 2024, across 7 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 38% of everything it billed.
33Billing provider infoDACANAL, MARY
JOHNSONBURG, PA 15845
JOHNSONBURG, PA 15845
33aNPI1528054285assigned 09/27/2005
33bProvider typeOptometrist
28Total paid$162K
24GClaims3,895
24DCodes billed7
24AFirst – last monthNov 2020 – Jun 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#163 of 983
Median peer was paid$20K
This provider vs. median8.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 116 | $5K | |
| 2021 | 936 | $38K | |
| 2022 | 1,127 | $46K | |
| 2023 | 1,140 | $49K | |
| 2024incomplete | 576 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 38% | 1,111 | 1,091 | $62K |
| V2020 | Frames, purchases | 35% | 1,350 | 1,331 | $56K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 26% | 1,377 | 1,364 | $41K |
| S0500 | Disposable contact lens, per lens | <1% | 13 | 13 | $850.00 |
| 92250 | <1% | 12 | 12 | $619.55 | |
| S0592 | Comprehensive contact lens evaluation | <1% | 16 | 16 | $549.00 |
| 92015 | Determination of refractive state | <1% | 16 | 16 | $19.80 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.