GROSSMONT DERMATOLOGY MEDICAL CLINIC
NPI: 1194838441
· LA MESA, CA 91942
· Multi-Specialty Clinic/Center
· NPI assigned 08/17/2006
$24.00
Total Medicaid Paid
Provider Details
| Authorized Official | DEL VALLE, MONICA (BILLING SUPERVISOR) |
| Parent Organization | COASTAL SKIN AND EYE INSTITUTE |
| NPI Enumeration Date | 08/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
12 |
$24.00 |
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 |
12 |
12 |
$24.00 |