SHOPKO STORES OPERATING CO. LLC
NPI: 1750334181
· MITCHELL, SD 57301
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
787 |
$33K |
| 2019 |
165 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
352 |
326 |
$15K |
| V2199 |
Lens single vision not oth c |
210 |
195 |
$8K |
| 92014 |
|
96 |
96 |
$7K |
| 92004 |
|
84 |
78 |
$5K |
| 92250 |
|
210 |
202 |
$5K |