Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WA › SHELTON › OPTICAL SHOP OF WA INC

OPTICAL SHOP OF WA INC

NPI: 1730362435 · SHELTON, WA 98584 · Optometrist · NPI assigned 12/17/2007

$994.97
Total Medicaid Paid
109
Total Claims
107
Beneficiaries
1
Codes Billed
2020-02
First Month
2024-02
Last Month

Provider Details

Authorized OfficialFRAIRE, DOLORES (OPTOMETRIST)
NPI Enumeration Date12/17/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $115.00
2021 24 $214.56
2022 44 $412.38
2023 13 $131.01
2024 13 $122.02

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 109 107 $994.97