GRAND LAKE EYECARE LLC
NPI: 1548301690
· CELINA, OH 45822
· Durable Medical Equipment & Medical Supplies
· NPI assigned 02/10/2007
$949.31
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
39 |
$949.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$540.18 |
| 92015 |
Determination of refractive state |
27 |
27 |
$409.13 |