Medicaid Provider Spending

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

DEPENDABLE OPTICAL, LLC

NPI: 1780960385 · WEST HARTFORD, CT 06119 · Optician · NPI assigned 10/26/2011

$42K
Total Medicaid Paid
1,575
Total Claims
1,547
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialKRUBITSKI, PAVEL (OPTICIAN/OWNER)
NPI Enumeration Date10/26/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 930 $25K
2019 628 $17K
2020 17 $478.72

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 629 617 $18K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 405 400 $12K
92340 Fitting of spectacles, except for aphakia; monofocal 290 285 $6K
92341 149 145 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 102 100 $3K