MT OGDEN EYE CENTER LLC
NPI: 1700927043
· OGDEN, UT 84403
· 152W00000X
$406K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
194 |
$10K |
| 2019 |
59 |
$4K |
| 2020 |
91 |
$4K |
| 2021 |
1,572 |
$76K |
| 2022 |
1,893 |
$94K |
| 2023 |
4,191 |
$115K |
| 2024 |
3,315 |
$103K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
1,742 |
1,656 |
$108K |
| 92014 |
|
2,206 |
2,031 |
$107K |
| V2020 |
Vision svcs frames purchases |
549 |
527 |
$41K |
| 99213 |
|
817 |
699 |
$34K |
| V2100 |
Lens spher single plano 4.00 |
1,170 |
570 |
$29K |
| 66984 |
|
223 |
180 |
$23K |
| 67028 |
|
99 |
81 |
$17K |
| 99204 |
|
227 |
209 |
$14K |
| 92060 |
|
978 |
896 |
$11K |
| 92134 |
|
432 |
361 |
$8K |
| 99214 |
|
149 |
135 |
$6K |
| 92015 |
|
2,405 |
2,269 |
$3K |
| 92136 |
|
290 |
261 |
$3K |
| 92012 |
|
12 |
12 |
$988.62 |
| 92133 |
|
16 |
14 |
$177.55 |