SONGSAKPHISARN, REVADEE
NPI: 1316935497
· JERSEY CITY, NJ 07306
· 1223G0001X
$210K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,730 |
$52K |
| 2019 |
3,005 |
$43K |
| 2020 |
1,653 |
$25K |
| 2021 |
1,229 |
$20K |
| 2022 |
1,649 |
$25K |
| 2023 |
1,681 |
$26K |
| 2024 |
1,233 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
|
2,438 |
2,432 |
$59K |
| D1110 |
|
1,425 |
1,419 |
$41K |
| D1120 |
|
994 |
994 |
$25K |
| D0230 |
|
2,093 |
2,070 |
$22K |
| D0272 |
|
1,934 |
1,931 |
$13K |
| D0220 |
|
2,265 |
2,254 |
$11K |
| D1208 |
|
1,293 |
1,293 |
$11K |
| D2150 |
|
219 |
124 |
$11K |
| D0210 |
|
244 |
243 |
$9K |
| D0330 |
|
223 |
223 |
$5K |
| D0601 |
|
164 |
164 |
$2K |
| D1330 |
|
888 |
864 |
$0.00 |