Medicaid Provider Spending

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

DRYDEN OPTOMETRY P.C.

NPI: 1801229620 · DRYDEN, NY 13053 · Optometrist · NPI assigned 08/15/2013

$17K
Total Medicaid Paid
299
Total Claims
299
Beneficiaries
3
Codes Billed
2018-01
First Month
2023-08
Last Month

Provider Details

Authorized OfficialOLTZ, MELISSA (OPTOMETRIST)
NPI Enumeration Date08/15/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 120 $6K
2019 71 $3K
2020 41 $3K
2021 55 $4K
2023 12 $455.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 164 164 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 115 115 $8K
92015 Determination of refractive state 20 20 $17.10