Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DALLAS EYE AND EAR PLLC

NPI: 1629595327 · DALLAS, TX 75203 · Otolaryngology Physician · NPI assigned 08/24/2017

$45K
Total Medicaid Paid
746
Total Claims
737
Beneficiaries
6
Codes Billed
2019-02
First Month
2021-09
Last Month

Provider Details

Authorized OfficialPHILLIPS, ANGELA (PRACTICE MANAGER)
NPI Enumeration Date08/24/2017

Related Entities

Other providers sharing the same authorized official: PHILLIPS, ANGELA

ProviderCityStateTotal Paid
DALLAS EYE AND EAR OPTICAL, PLLC DALLAS TX $4K
COUNTY OF WESTON NEWCASTLE WY $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 565 $36K
2020 157 $8K
2021 24 $462.34

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0621 Routine ophthalmological examination including refraction; established patient 389 381 $24K
V2314 Spherocylinder, trifocal, sphere over plus or minus 12.00d, per lens 107 107 $11K
V2025 Deluxe frame 151 150 $5K
S0620 Routine ophthalmological examination including refraction; new patient 75 75 $5K
92083 12 12 $248.85
92133 12 12 $213.49