Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › HAZELWOOD › DAVIS, SARAH

DAVIS, SARAH

NPI: 1730855537 · HAZELWOOD, MO 63042 · 152W00000X

$2K
Total Medicaid Paid
112
Total Claims
107
Beneficiaries
5
Codes Billed
2021-11
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 112 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 49 46 $898.66
92014 14 13 $622.30
92340 17 16 $511.19
V2100 Lens spher single plano 4.00 16 16 $204.48
V2020 Vision svcs frames purchases 16 16 $149.40