BONNEY LAKE OPTICAL, INC
NPI: 1154478014
· BONNEY LAKE, WA 98391
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/04/2007
$119K
Total Medicaid Paid
Provider Details
| Authorized Official | CUDAHY, SEAN (CFO) |
| NPI Enumeration Date | 01/04/2007 |
Related Entities
Other providers sharing the same authorized official: CUDAHY, SEAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
577 |
$21K |
| 2021 |
369 |
$14K |
| 2022 |
838 |
$33K |
| 2023 |
969 |
$37K |
| 2024 |
350 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,349 |
1,344 |
$97K |
| 92015 |
Determination of refractive state |
1,605 |
1,598 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
69 |
68 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
80 |
75 |
$1K |