SHOPKO STORES OPERATING CO. LLC
NPI: 1558314328
· MADISON, WI 53704
· Eyewear Supplier
· NPI assigned 05/19/2006
Provider Details
| Authorized Official | SEDANI, DILIP (VP) |
| NPI Enumeration Date | 05/19/2006 |
Related Entities
Other providers sharing the same authorized official: SEDANI, DILIP
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,626 |
$44K |
| 2019 |
364 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
877 |
738 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
787 |
743 |
$15K |
| 92250 |
|
275 |
256 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
51 |
48 |
$2K |