Supplier
Sundance Optical
Sundance Optical was paid $325K by Medicaid between May 2018 and Oct 2022, across 5 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 43% of everything it billed.
33Billing provider infoSUNDANCE OPTICAL
PHOENIX, AZ 85016
PHOENIX, AZ 85016
33aNPI1568817955assigned 05/04/2016
33bProvider typeEyewear Supplier
28Total paid$325K
24GClaims4,600
24DCodes billed5
24AFirst – last monthMay 2018 – Oct 2022
Compared with peers
Next to other Eyewear Supplier providers in Arizona
Rank by total paid#2 of 5
Median peer was paid$38K
This provider vs. median8.6×
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 | |
|---|---|---|---|
| 2018 | 157 | $10K | |
| 2019 | 701 | $43K | |
| 2020 | 736 | $49K | |
| 2021 | 1,420 | $106K | |
| 2022 | 1,586 | $117K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 43% | 1,672 | 1,667 | $139K |
| V2020 | Frames, purchases | 33% | 1,659 | 1,654 | $109K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 699 | 699 | $43K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 9.1% | 486 | 485 | $30K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 1.7% | 84 | 84 | $6K |
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.
From NPPES
Who's on the registration
Authorized officialCLARK, PHILIP (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sundance Optical Clinic INC | Phoenix, AZ | $441K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.