DESLOGE VISION CENTER INC
NPI: 1720128846
· DESLOGE, MO 63601
· 332H00000X
$760K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,530 |
$28K |
| 2019 |
1,166 |
$23K |
| 2020 |
3,646 |
$76K |
| 2021 |
5,011 |
$97K |
| 2022 |
5,491 |
$149K |
| 2023 |
6,284 |
$237K |
| 2024 |
4,521 |
$151K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
4,790 |
4,671 |
$265K |
| V2020 |
Vision svcs frames purchases |
5,877 |
5,725 |
$184K |
| V2784 |
Lens polycarb or equal |
4,893 |
4,112 |
$109K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,614 |
3,204 |
$66K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
1,283 |
773 |
$46K |
| 92004 |
|
336 |
335 |
$34K |
| 92015 |
|
5,248 |
5,128 |
$24K |
| V2100 |
Lens spher single plano 4.00 |
1,274 |
1,207 |
$23K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
225 |
203 |
$5K |
| V2107 |
Spherocylinder 4.25d/12-2d |
109 |
104 |
$3K |