BONNEY LAKE OPTICAL, INC
NPI: 1154478014
· BONNEY LAKE, WA 98391
· 332B00000X
$119K
Total Medicaid Paid
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 |
|
1,349 |
1,344 |
$97K |
| 92015 |
|
1,605 |
1,598 |
$16K |
| 92014 |
|
69 |
68 |
$5K |
| 92340 |
|
80 |
75 |
$1K |