Andover Optical INC
Andover Optical INC was paid $331.00 by Medicaid between Feb 2018 and Mar 2021, across 2 billing codes. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoANDOVER OPTICAL INC
ANDOVER, MN 55304
ANDOVER, MN 55304
33aNPI1972663383assigned 12/08/2006
33bProvider typeContact Lens Technician/Technologist
28Total paid$331.00
24GClaims61
24DCodes billed2
24AFirst – last monthFeb 2018 – Mar 2021
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 35 | $0.00 | |
| 2020 | 13 | $164.32 | |
| 2021 | 13 | $166.68 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 43 | 38 | $331.00 |
| V2020 | Frames, purchases | 0% | 18 | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSANGREN, LAINE (VICE PRES)