CRANIOFACIAL/CLEFT PALATE PROGRAM
NPI: 1093959900
· LOS ANGELES, CA 90007
· 174400000X
$160K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
696 |
$27K |
| 2019 |
977 |
$32K |
| 2020 |
529 |
$15K |
| 2021 |
756 |
$19K |
| 2022 |
404 |
$11K |
| 2023 |
672 |
$35K |
| 2024 |
335 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| X4301 |
|
722 |
722 |
$44K |
| X4300 |
|
720 |
719 |
$44K |
| 99215 |
Prolong outpt/office vis |
131 |
116 |
$19K |
| Z4302 |
|
1,091 |
1,087 |
$17K |
| Z4306 |
|
211 |
209 |
$11K |
| Z4301 |
|
546 |
530 |
$9K |
| Z4310 |
|
654 |
642 |
$6K |
| Z4303 |
|
167 |
163 |
$5K |
| Z4304 |
|
88 |
88 |
$5K |
| X4501 |
|
39 |
39 |
$1K |