THE EYE DOCTOR, LLC
NPI: 1255723128
· FREEHOLD, NJ 07728
· Optometrist
· NPI assigned 03/02/2015
$780.00
Total Medicaid Paid
Provider Details
| Authorized Official | GREENFIELD, ROBIN (MANAGING MEMBER) |
| Parent Organization | THE EYE DOCTOR, LLC |
| NPI Enumeration Date | 03/02/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$780.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$722.80 |
| 92015 |
Determination of refractive state |
13 |
13 |
$57.20 |