DILLINGHAM OPTICAL DISPENSARY, INC
NPI: 1720137953
· MONROE, LA 71201
· 156FX1800X
$366K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,330 |
$82K |
| 2019 |
4,404 |
$84K |
| 2020 |
4,181 |
$77K |
| 2021 |
4,355 |
$85K |
| 2022 |
2,016 |
$38K |
| 2023 |
231 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
7,541 |
7,011 |
$113K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
3,452 |
3,235 |
$81K |
| 99211 |
|
4,882 |
4,721 |
$63K |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
892 |
814 |
$58K |
| V2100 |
Lens spher single plano 4.00 |
1,628 |
1,521 |
$39K |
| V2200 |
Lens spher bifoc plano 4.00d |
79 |
69 |
$5K |
| V2799 |
Misc vision item or service |
440 |
429 |
$3K |
| V2107 |
Spherocylinder 4.25d/12-2d |
84 |
83 |
$2K |
| 92340 |
|
353 |
285 |
$1K |
| 92004 |
|
23 |
14 |
$1K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
13 |
13 |
$310.88 |
| 92014 |
|
36 |
29 |
$0.00 |
| 92015 |
|
94 |
77 |
$0.00 |