Supplier
Sundance Optical Clinic INC
Sundance Optical Clinic INC was paid $441K by Medicaid between Dec 2022 and Dec 2024, across 5 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 40% of everything it billed.
33Billing provider infoSUNDANCE OPTICAL CLINIC INC
PHOENIX, AZ 85016
PHOENIX, AZ 85016
33aNPI1629786397assigned 11/10/2022
33bProvider typeEyewear Supplier
28Total paid$441K
24GClaims5,536
24DCodes billed5
24AFirst – last monthDec 2022 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Arizona
Rank by total paid#1 of 5
Median peer was paid$38K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2022 | 294 | $21K | |
| 2023 | 2,430 | $185K | |
| 2024incomplete | 2,812 | $234K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 40% | 1,850 | 1,836 | $175K |
| V2020 | Frames, purchases | 32% | 1,845 | 1,827 | $143K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 924 | 913 | $62K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 12% | 809 | 803 | $54K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 1.6% | 108 | 108 | $7K |
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 | Phoenix, AZ | $325K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.