ODA PRIMARY HEALTH CARE NETWORK, INC.
NPI: 1093263998
· WOODRIDGE, NY 12789
· Federally Qualified Health Center (FQHC)
· NPI assigned 09/20/2016
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | ROSENFELD, ROSE (CFO) |
| Parent Organization | ODA PRIMARY HEALTH CARE NETWORK, INC. |
| NPI Enumeration Date | 09/20/2016 |
Related Entities
Other providers sharing the same authorized official: ROSENFELD, ROSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
761 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
403 |
337 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
30 |
30 |
$0.00 |
| 92015 |
Determination of refractive state |
164 |
164 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
164 |
164 |
$0.00 |