Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › CORAL GABLES › BUSTELOS OPTICAL, INC

BUSTELOS OPTICAL, INC

NPI: 1962973685 · CORAL GABLES, FL 33134 · 156FX1800X

$41K
Total Medicaid Paid
1,260
Total Claims
1,233
Beneficiaries
6
Codes Billed
2021-12
First Month
2024-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 17 $949.00
2022 436 $16K
2023 726 $24K
2024 81 $240.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2025 Eyeglasses delux frames 220 214 $25K
92004 453 446 $16K
V2100 Lens spher single plano 4.00 296 284 $365.00
V2020 Vision svcs frames purchases 217 216 $240.00
92340 45 45 $0.00
V2200 Lens spher bifoc plano 4.00d 29 28 $0.00