GRAHAM CLOVERLEAF OPTICAL INC.
NPI: 1760627376
· VAN BUREN, AR 72956
· 152W00000X
$341K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,244 |
$55K |
| 2019 |
1,416 |
$60K |
| 2020 |
896 |
$38K |
| 2021 |
1,183 |
$50K |
| 2022 |
1,154 |
$51K |
| 2023 |
1,113 |
$50K |
| 2024 |
851 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
|
2,496 |
2,419 |
$117K |
| 92014 |
|
1,880 |
1,817 |
$94K |
| 92015 |
|
2,906 |
2,817 |
$91K |
| 92004 |
|
575 |
551 |
$38K |