OLIVERA MORALES, JONATHAN
NPI: 1275165284
· JUANA DIAZ, PR 00795
· 208D00000X
$41.04
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
68 |
$41.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 96127 |
|
14 |
14 |
$41.04 |
| 1159F |
|
13 |
13 |
$0.00 |
| 1160F |
|
13 |
13 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |