Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › PUEBLO › 3D VISION, INC

3D VISION, INC

NPI: 1881063303 · PUEBLO, CO 81005 · Optometrist · NPI assigned 09/15/2015

$11K
Total Medicaid Paid
98
Total Claims
94
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialDRAKE, JENNI (OWNER)
Parent Organization3D VISION, INC
NPI Enumeration Date09/15/2015

Related Entities

Other providers sharing the same authorized official: DRAKE, JENNI

ProviderCityStateTotal Paid
3D VISION, INC PUEBLO CO $215K
3D VISION, INC COLORADO CITY CO $14K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 98 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 58 57 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 40 37 $4K