LAKE RIDGE AMBULATORY SURGERY CENTER, LLC
NPI: 1972850808
· WOODBRIDGE, VA 22192
· 261QA1903X
$105K
Total Medicaid Paid
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 |
|
77 |
74 |
$57K |
| 69436 |
|
92 |
89 |
$48K |
| C1713 |
Anchor/screw bn/bn,tis/bn |
109 |
106 |
$0.00 |