MODERN DERMATOLOGY PLLC
NPI: 1356891576
· BEAUMONT, TX 77701
· Dermatology Physician
· NPI assigned 10/12/2016
$442.68
Total Medicaid Paid
Provider Details
| Authorized Official | WEST, TRINA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/12/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29 |
$0.00 |
| 2019 |
12 |
$0.00 |
| 2020 |
14 |
$442.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$442.68 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
29 |
$0.00 |