JEFFERSON MEDICAL CARE, PC
NPI: 1164511747
· PHILADELPHIA, PA 19107
· Dentist
· NPI assigned 10/12/2006
Provider Details
| Authorized Official | RISTAS, HRISTOS (VICE PRESIDENT) |
| NPI Enumeration Date | 10/12/2006 |
Related Entities
Other providers sharing the same authorized official: RISTAS, HRISTOS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
426 |
$5K |
| 2020 |
172 |
$2K |
| 2021 |
75 |
$523.38 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
462 |
$6K |
| 90686 |
|
54 |
53 |
$785.52 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
88 |
$766.08 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$66.96 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
13 |
$0.00 |