Medicaid Provider Spending

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

BONAFIDE EYEWEAR LLC

NPI: 1720101223 · RIDGEWOOD, NY 11385 · Eyewear Supplier · NPI assigned 04/09/2007

$10K
Total Medicaid Paid
194
Total Claims
194
Beneficiaries
3
Codes Billed
2023-09
First Month
2024-06
Last Month

Provider Details

Authorized OfficialBABAYEV, ALEX (OWNER)
NPI Enumeration Date04/09/2007

Related Entities

Other providers sharing the same authorized official: BABAYEV, ALEX

ProviderCityStateTotal Paid
EYECRAFTERS LLC BROOKLYN NY $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 145 $7K
2024 49 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 80 80 $5K
92250 58 58 $3K
92285 56 56 $2K