LAKE RIDGE AMBULATORY SURGERY CENTER, LLC
NPI: 1972850808
· WOODBRIDGE, VA 22192
· Ambulatory Surgical Clinic/Center
· NPI assigned 08/09/2012
$105K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, JANET (ADMINISTRATOR) |
| NPI Enumeration Date | 08/09/2012 |
Related Entities
Other providers sharing the same authorized official: SMITH, JANET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
96 |
$21K |
| 2023 |
134 |
$71K |
| 2024 |
48 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 42820 |
Tonsillectomy and adenoidectomy; younger than age 12 |
77 |
74 |
$57K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
92 |
89 |
$48K |
| C1713 |
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) |
109 |
106 |
$0.00 |