2020 EYEDR
NPI: 1942754700
· SOUTHLAKE, TX 76092
· Optometrist
· NPI assigned 08/10/2016
$31.00
Total Medicaid Paid
Provider Details
| Authorized Official | ABRAHAM, MANOJ (OPTOMETRIST) |
| NPI Enumeration Date | 08/10/2016 |
Related Entities
Other providers sharing the same authorized official: ABRAHAM, MANOJ
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$0.00 |
| 2024 |
14 |
$31.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
14 |
13 |
$31.00 |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
14 |
12 |
$0.00 |