FLORIDA CRANIOFACIAL INSTITUTE
NPI: 1053499756
· TAMPA, FL 33607
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 11/01/2006
$130K
Total Medicaid Paid
1,893
Beneficiary Records
Provider Details
| Authorized Official | RICALDE, PAT (OWNER) |
| NPI Enumeration Date | 11/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
336 |
$23K |
| 2020 |
473 |
$31K |
| 2021 |
526 |
$42K |
| 2022 |
283 |
$26K |
| 2023 |
167 |
$7K |
| 2024 |
150 |
$2K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
829 |
818 |
$78K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
473 |
468 |
$26K |
| 99243 |
|
184 |
182 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
155 |
$9K |
| 99215 |
Prolong outpt/office vis |
54 |
51 |
$3K |
| D9310 |
|
235 |
219 |
$0.00 |