Medicaid Provider Spending

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

NPI: 1972663383 · ANDOVER, MN 55304 · Contact Lens Technician/Technologist · NPI assigned 12/08/2006

$331.00
Total Medicaid Paid
61
Total Claims
52
Beneficiaries
2
Codes Billed
2018-02
First Month
2021-03
Last Month

Provider Details

Authorized OfficialSANGREN, LAINE (VICE PRES)
NPI Enumeration Date12/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 35 $0.00
2020 13 $164.32
2021 13 $166.68

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92015 Determination of refractive state 43 38 $331.00
V2020 Frames, purchases 18 14 $0.00