SHOPKO STORES OPERATING CO. LLC
NPI: 1942253711
· WATERTOWN, SD 57201
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
544 |
$25K |
| 2019 |
123 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
223 |
215 |
$15K |
| V2020 |
Vision svcs frames purchases |
216 |
197 |
$9K |
| V2199 |
Lens single vision not oth c |
104 |
99 |
$4K |
| 92250 |
|
106 |
101 |
$3K |
| 92004 |
|
18 |
13 |
$1K |