Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DT VISION CARE L.L.C.

NPI: 1760798441 · SAINT CLOUD, MN 56303 · Optometrist · NPI assigned 08/19/2010

$378.30
Total Medicaid Paid
28
Total Claims
28
Beneficiaries
1
Codes Billed
2020-08
First Month
2021-08
Last Month

Provider Details

Authorized OfficialTIMPERLEY, DEBRA (CHIEF MANAGER)
NPI Enumeration Date08/19/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $202.80
2021 13 $175.50

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 28 28 $378.30