LAKE AVENUE EYECARE LLC
NPI: 1396932430
· GOTHENBURG, NE 69138
· 152W00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
44 |
$702.24 |
| 2021 |
157 |
$3K |
| 2022 |
95 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
|
211 |
202 |
$3K |
| 92340 |
|
31 |
28 |
$2K |
| V2020 |
Vision svcs frames purchases |
13 |
13 |
$566.53 |
| 92004 |
|
17 |
12 |
$521.85 |
| 92012 |
|
12 |
12 |
$417.60 |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$315.56 |