Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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A DUSSAN SERVICES LLC
NPI: 1831759810 · LONG ISLAND CITY, NY 11101 ·
152W00000X
$18K
Total Medicaid Paid
493
Total Claims
398
Beneficiaries
8
Codes Billed
2020-08
First Month
2023-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
106
$4K
2021
82
$3K
2022
126
$4K
2023
179
$7K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
92004
196
160
$8K
92014
109
92
$6K
76512
32
16
$2K
92250
25
25
$937.08
V2020
Vision svcs frames purchases
15
15
$452.50
V2100
Lens spher single plano 4.00
26
13
$451.24
92015
64
64
$199.50
V2784
Lens polycarb or equal
26
13
$0.00