Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WOODBURY OPTICAL STUDIO, INC.

NPI: 1699824169 · HICKSVILLE, NY 11801 · Eyewear Supplier · NPI assigned 01/10/2007

$11K
Total Medicaid Paid
595
Total Claims
545
Beneficiaries
4
Codes Billed
2018-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHART, DEAN (PRESIDENT)
NPI Enumeration Date01/10/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $195.00
2019 26 $390.00
2020 57 $855.00
2022 13 $186.00
2023 219 $4K
2024 266 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 336 336 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 98 80 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 97 97 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 64 32 $1K