Medicaid Provider Spending

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

DIANA J DONCH OD PC

NPI: 1922338433 · COCHRANTON, PA 16314 · Optometrist

$4K
Total Medicaid Paid
120
Total Claims
120
Beneficiaries
5
Codes Billed
2024-08
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 120 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 39 39 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 40 40 $800.00
S0620 Routine ophthalmological examination including refraction; new patient 15 15 $450.00
S0621 Routine ophthalmological examination including refraction; established patient 14 14 $420.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12 12 $374.00