WIDJAJA, ARMAND
NPI: 1336335322
· IRVINE, CA 92604
· Pediatrics Physician
· NPI assigned 09/24/2007
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
413 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
186 |
186 |
$8K |
| 92551 |
|
108 |
108 |
$1K |
| 99173 |
|
78 |
78 |
$250.62 |
| 90658 |
|
17 |
17 |
$153.00 |
| 85999 |
|
24 |
24 |
$72.24 |