Medicaid Provider Spending

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

JENNIFER J DOTTERWEICH OPTOMETRY, PC

NPI: 1538483151 · AVON, NY 14414 · Eyewear Supplier · NPI assigned 03/25/2010

$28K
Total Medicaid Paid
612
Total Claims
607
Beneficiaries
5
Codes Billed
2019-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialDOTTERWEICH, JENNIFER (PRESIDENT)
NPI Enumeration Date03/25/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 64 $2K
2020 193 $9K
2021 114 $5K
2022 148 $8K
2023 93 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 437 433 $19K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 89 88 $5K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16 16 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 26 26 $2K
92015 Determination of refractive state 44 44 $659.40