CITRAN XRAY LLC
NPI: 1235671710
· FAIRBORN, OH 45324
· Radiology Clinic/Center
· NPI assigned 11/15/2016
$660.08
Total Medicaid Paid
Provider Details
| Authorized Official | DEAN, EILEEN (OWNER) |
| NPI Enumeration Date | 11/15/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
45 |
$660.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 71046 |
Radiologic examination, chest; 2 views |
30 |
25 |
$370.76 |
| 72100 |
|
15 |
15 |
$289.32 |