Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DAVIS VISION CENTER ASSOCIATES PLLC

NPI: 1689997165 · SOUTH JORDAN, UT 84095 · 207W00000X

$109.45
Total Medicaid Paid
257
Total Claims
250
Beneficiaries
1
Codes Billed
2021-05
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 33 $0.00
2022 13 $0.00
2023 132 $65.49
2024 79 $43.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 257 250 $109.45