MATOS-PERROTTE, VIRGINIA
NPI: 1144202110
· NEW BRUNSWICK, NJ 08901
· 122300000X
$306.75
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
76 |
$306.75 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
14 |
14 |
$104.00 |
| D1120 |
|
14 |
14 |
$91.00 |
| D0220 |
|
34 |
34 |
$78.75 |
| D0230 |
|
14 |
14 |
$33.00 |