LUXOTTICA OF AMERICA INC
NPI: 1760536379
· WALDORF, MD 20603
· 332H00000X
$104K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,317 |
$16K |
| 2021 |
1,333 |
$16K |
| 2022 |
1,655 |
$20K |
| 2023 |
1,968 |
$29K |
| 2024 |
1,360 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
2,079 |
1,935 |
$27K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,165 |
1,108 |
$17K |
| V2100 |
Lens spher single plano 4.00 |
1,071 |
952 |
$17K |
| 92014 |
|
384 |
376 |
$9K |
| V2784 |
Lens polycarb or equal |
1,324 |
1,221 |
$9K |
| 92004 |
|
334 |
327 |
$9K |
| V2025 |
Eyeglasses delux frames |
752 |
699 |
$9K |
| 99214 |
|
124 |
118 |
$5K |
| 99204 |
|
28 |
27 |
$2K |
| V2750 |
Anti-reflective coating |
201 |
185 |
$0.00 |
| V2799 |
Misc vision item or service |
171 |
155 |
$0.00 |