GUILLEN-SANTANA, ROSELIA
NPI: 1235140922
· ARVERNE, NY 11692
· Pediatrics Physician
· NPI assigned 08/10/2006
$17.85
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
91 |
$17.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$17.85 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
26 |
$0.00 |
| 90686 |
|
13 |
13 |
$0.00 |