MENDHAM MEDICAL PRACTICE LLC
NPI: 1265917926
· MENDHAM, NJ 07945
· Internal Medicine Physician
· NPI assigned 09/28/2018
$35.00
Total Medicaid Paid
Provider Details
| Authorized Official | MARELLA, GREGG (SOLE MEMBER) |
| NPI Enumeration Date | 09/28/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$35.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99349 |
|
19 |
14 |
$35.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |