BANTLE, ROXANA
NPI: 1417906801
· MIDLOTHIAN, VA 23114
· Pediatrics Physician
· NPI assigned 05/10/2006
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
261 |
$13K |
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 |
137 |
129 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$892.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
75 |
70 |
$155.19 |
| 99174 |
|
13 |
12 |
$78.10 |
| 90461 |
|
24 |
24 |
$69.30 |