Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › WEST COVINA › PACIFIC OPTOMETRY VISION, INC.

PACIFIC OPTOMETRY VISION, INC.

NPI: 1598923823 · WEST COVINA, CA 91792 · Optometrist · NPI assigned 05/22/2008

$20K
Total Medicaid Paid
2,066
Total Claims
2,066
Beneficiaries
6
Codes Billed
2018-04
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNGUYEN, PHONG (PRESIDENT)
NPI Enumeration Date05/22/2008

Related Entities

Other providers sharing the same authorized official: NGUYEN, PHONG

ProviderCityStateTotal Paid
PHONG NGUYEN D.D.S. PC HOUSTON TX $138K
OAK RIDGE DENTAL PLLC GARLAND TX $2K
WESTLAKE MEDICAL SERVICES LLLP HOUSTON TX $221.82

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $136.99
2019 376 $2K
2020 197 $1K
2021 356 $4K
2022 427 $5K
2023 369 $4K
2024 272 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 361 361 $10K
92015 Determination of refractive state 1,360 1,360 $6K
V2020 Frames, purchases 127 127 $1K
92002 68 68 $1K
92340 Fitting of spectacles, except for aphakia; monofocal 90 90 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 60 60 $298.12