LUXOTTICA OF AMERICA INC
NPI: 1689168031
· GERMANTOWN, MD 20876
· 332H00000X
$791.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
132 |
$58.00 |
| 2021 |
30 |
$0.00 |
| 2022 |
28 |
$0.00 |
| 2023 |
85 |
$560.00 |
| 2024 |
16 |
$173.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
42 |
40 |
$478.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
49 |
48 |
$255.00 |
| V2020 |
Vision svcs frames purchases |
138 |
111 |
$58.00 |
| V2100 |
Lens spher single plano 4.00 |
62 |
42 |
$0.00 |