SHOPKO STORES OPERATING CO. LLC
NPI: 1801848890
· MARSHALL, MN 56258
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,403 |
$8K |
| 2019 |
135 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
374 |
347 |
$4K |
| 92340 |
|
285 |
267 |
$2K |
| V2100 |
Lens spher single plano 4.00 |
287 |
263 |
$2K |
| 92014 |
|
172 |
169 |
$1K |
| 92015 |
|
364 |
351 |
$1K |
| 92004 |
|
56 |
54 |
$214.31 |