Eye Boutique of Sedona, PLLC
Eye Boutique of Sedona, PLLC was paid $20K by Medicaid between Feb 2019 and Jun 2024, across 8 billing codes. Its largest line is V2020, Frames, purchases — 26% of everything it billed.
33Billing provider infoEYE BOUTIQUE OF SEDONA, PLLC
SEDONA, AZ 86351
SEDONA, AZ 86351
33aNPI1669802013assigned 11/22/2013
33bProvider typeOptometrist
28Total paid$20K
24GClaims657
24DCodes billed8
24AFirst – last monthFeb 2019 – Jun 2024
Compared with peers
Next to other Optometrist providers in Arizona
Rank by total paid#38 of 90
Median peer was paid$7K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2019 | 308 | $7K | |
| 2020 | 111 | $3K | |
| 2021 | 193 | $7K | |
| 2024incomplete | 45 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 26% | 118 | 101 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 48 | 48 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16% | 103 | 87 | $3K |
| 92015 | Determination of refractive state | 12% | 161 | 147 | $2K |
| V2750 | Anti-reflective coating, per lens | 9.9% | 116 | 100 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.2% | 14 | 14 | $2K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 7.8% | 61 | 27 | $2K |
| 99072 | 0% | 36 | 35 | $0.00 |
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 officialCHANG, CAROLYN (SOLE MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Chang & Phan Dental, LLC | Rockville, MD | $1.42M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.