TESFAYE D FANTA MD PLLC
NPI: 1033489216
· REIDSVILLE, NC 27320
· Endocrinology, Diabetes & Metabolism Physician
· NPI assigned 01/05/2012
Provider Details
| Authorized Official | FANTA, TESFAYE (OWNER) |
| NPI Enumeration Date | 01/05/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
352 |
$3K |
| 2022 |
970 |
$14K |
| 2023 |
428 |
$8K |
| 2024 |
136 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
271 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
234 |
157 |
$6K |
| 99199 |
Unlisted special service, procedure or report |
1,181 |
1,139 |
$6K |
| 90658 |
|
16 |
13 |
$173.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
14 |
$160.80 |