GARY G MONTALVO PETROVICH LLC
NPI: 1346654324
· SAN JUAN, PR 00918
· Otolaryngology Physician
· NPI assigned 06/17/2014
$418.18
Total Medicaid Paid
Provider Details
| Authorized Official | MONTALVO, GARY (DUENO) |
| NPI Enumeration Date | 06/17/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$418.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$418.18 |