JDN VISTA LLC
NPI: 1891238341
· BRIDGEWATER, NJ 08807
· Optometrist
· NPI assigned 11/30/2016
Provider Details
| Authorized Official | SAMUEL, DAVID (OPTOMETRIST/OWNER) |
| NPI Enumeration Date | 11/30/2016 |
Related Entities
Other providers sharing the same authorized official: SAMUEL, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$600.00 |
| 2020 |
40 |
$450.80 |
| 2021 |
28 |
$74.80 |
| 2022 |
49 |
$421.00 |
| 2023 |
64 |
$677.40 |
| 2024 |
16 |
$44.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
37 |
37 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15 |
15 |
$541.00 |
| 92015 |
Determination of refractive state |
169 |
169 |
$453.20 |