BONNEY LAKE OPTICAL, INC
NPI: 1902953581
· BONNEY LAKE, WA 98391
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/04/2007
$203K
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 |
806 |
$29K |
| 2019 |
1,451 |
$48K |
| 2020 |
1,053 |
$36K |
| 2021 |
401 |
$19K |
| 2022 |
434 |
$20K |
| 2023 |
564 |
$25K |
| 2024 |
592 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,844 |
1,837 |
$147K |
| 92015 |
Determination of refractive state |
2,518 |
2,500 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
245 |
244 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
682 |
660 |
$12K |
| 92310 |
|
12 |
12 |
$558.44 |