HIS FAITHFULNESS FAMILY CLINIC INC
NPI: 1164030102
· OXON HILL, MD 20745
· Clinic/Center
· NPI assigned 07/15/2020
$556.54
Total Medicaid Paid
Provider Details
| Authorized Official | MBAH, OLIVIA (ADMINISTRATOR) |
| NPI Enumeration Date | 07/15/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
27 |
$556.54 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
|
15 |
12 |
$453.88 |
| 87635 |
|
12 |
12 |
$102.66 |