TULSA DERMATOLOGY CLINIC INC
NPI: 1194741561
· TULSA, OK 74114
· Dermatology Physician
· NPI assigned 07/15/2006
$698.20
Total Medicaid Paid
Provider Details
| Authorized Official | GREGG, LAWRENCE (PRESIDENT) |
| NPI Enumeration Date | 07/15/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12 |
$189.47 |
| 2019 |
27 |
$508.73 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$272.35 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$236.38 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$189.47 |