DE JESUS-DE LA CRUZ, HENRY
NPI: 1174940068
· CAROLINA, PR 00983
· 207RG0100X
$128K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
846 |
$111K |
| 2023 |
122 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 43239 |
|
153 |
130 |
$47K |
| 99070 |
|
363 |
221 |
$27K |
| 45380 |
|
71 |
59 |
$22K |
| 99204 |
|
161 |
121 |
$19K |
| 99213 |
|
202 |
181 |
$12K |
| 99203 |
|
18 |
12 |
$1K |