DELTA EYE MEDICAL GROUP, INC.
NPI: 1457549123
· LODI, CA 95242
· Ophthalmology Physician
· NPI assigned 10/09/2007
$79.31
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, LAURIE (CORPORATE CONTROLLER) |
| Parent Organization | DELTA EYE MEDICAL GROUP, INC. |
| NPI Enumeration Date | 10/09/2007 |
Related Entities
Other providers sharing the same authorized official: SMITH, LAURIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
19 |
$79.31 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
19 |
13 |
$79.31 |