DIAMOND VISION CARE, LLC
NPI: 1558736173
· MOORESTOWN, NJ 08057
· Optometrist
· NPI assigned 12/08/2015
$540.00
Total Medicaid Paid
Provider Details
| Authorized Official | PATEL, ANISHA (OPTOMETRIST) |
| NPI Enumeration Date | 12/08/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$540.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$500.40 |
| 92015 |
Determination of refractive state |
12 |
12 |
$39.60 |