SHORELINE OPTICAL, LLC
NPI: 1972808921
· SPRING LAKE, MI 49456
· Optometrist
· NPI assigned 01/24/2011
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | PATRICK, ANDREA (ACCOUNT MANAGER) |
| NPI Enumeration Date | 01/24/2011 |
Related Entities
Other providers sharing the same authorized official: PATRICK, ANDREA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
291 |
$5K |
| 2023 |
3,383 |
$58K |
| 2024 |
3,258 |
$56K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,302 |
2,301 |
$46K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,858 |
1,858 |
$45K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
522 |
521 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,235 |
2,234 |
$13K |
| V2025 |
Deluxe frame |
15 |
15 |
$277.20 |