SPROUT VISION CENTER LLC
NPI: 1972934339
· MARIETTA, OH 45750
· 261Q00000X
$106K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,712 |
$36K |
| 2019 |
2,808 |
$43K |
| 2020 |
522 |
$14K |
| 2021 |
289 |
$7K |
| 2022 |
290 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
1,308 |
1,093 |
$44K |
| 92340 |
|
1,333 |
1,125 |
$22K |
| 92004 |
|
428 |
329 |
$17K |
| 92015 |
|
1,454 |
1,168 |
$12K |
| 92341 |
|
342 |
240 |
$5K |
| V2020 |
Vision svcs frames purchases |
466 |
321 |
$3K |
| V2784 |
Lens polycarb or equal |
246 |
122 |
$2K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
44 |
26 |
$272.64 |