Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ARLINGTON
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EDENEYECARE LLC
NPI: 1568901288 · ARLINGTON, VA 22206 ·
261QM1300X
$53K
Total Medicaid Paid
3,468
Total Claims
3,409
Beneficiaries
6
Codes Billed
2021-04
First Month
2024-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
600
$11K
2022
987
$14K
2023
1,137
$17K
2024
744
$11K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
V2100
Lens spher single plano 4.00
910
893
$22K
V2020
Vision svcs frames purchases
883
866
$18K
V2784
Lens polycarb or equal
934
917
$6K
92004
119
117
$5K
92014
67
66
$3K
92015
555
550
$0.00