MODERN SPINE AND PAIN PC
NPI: 1174240352
· WEST DEPTFORD, NJ 08086
· Specialist
· NPI assigned 10/27/2022
$217.98
Total Medicaid Paid
Provider Details
| Authorized Official | RICCA, AMANDA (ADMINISTRATOR) |
| NPI Enumeration Date | 10/27/2022 |
Related Entities
Other providers sharing the same authorized official: RICCA, AMANDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
16 |
$217.98 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
13 |
$217.98 |