LUXOTTICA OF AMERICA INC
NPI: 1962587428
· BOLINGBROOK, IL 60490
· 332H00000X
$471.57
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
15 |
$139.32 |
| 2024 |
20 |
$332.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Eyeglasses delux frames |
20 |
13 |
$332.25 |
| V2020 |
Vision svcs frames purchases |
15 |
13 |
$139.32 |