Medicaid Provider Spending

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

FARTASH OD INC

NPI: 1588273833 · CORONA, CA 92880 · Optometrist · NPI assigned 07/23/2020

$1K
Total Medicaid Paid
74
Total Claims
71
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialDAVIS, SHANNON (CREDENTIALING SPECIALIST)
NPI Enumeration Date07/23/2020

Related Entities

Other providers sharing the same authorized official: DAVIS, SHANNON

ProviderCityStateTotal Paid
TRANQUILITY BEHAVIORAL TELEHEALTH LLC EAGLE RIVER AK $313K
SHANNON G. DAVIS, APRN-CNP FAMILY, P.L.L.C OKLAHOMA CITY OK $45K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 74 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14 13 $497.00
V2020 Frames, purchases 16 15 $306.88
92340 Fitting of spectacles, except for aphakia; monofocal 15 15 $290.85
92015 Determination of refractive state 29 28 $209.09