EPIPHANY DERMATOLOGY OF OREGON, LLC
NPI: 1174697239
· PORTLAND, OR 97210
· Dermatology Physician
· NPI assigned 11/20/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PUSTA, GHEORGHE controls 11+ related entities in our dataset. Read more
$80.85
Total Medicaid Paid
Provider Details
| Authorized Official | PUSTA, GHEORGHE (SECRETARY) |
| NPI Enumeration Date | 11/20/2006 |
Related Entities
Other providers sharing the same authorized official: PUSTA, GHEORGHE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
14 |
$80.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$80.85 |