INTEGRATED DERMATOLOGY OF CLINTON, LLC
NPI: 1457728883
· CLINTON, CT 06413
· Dermatology Physician
· NPI assigned 09/02/2015
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | QUEEN, JEFFREY (MANAGER) |
| NPI Enumeration Date | 09/02/2015 |
Related Entities
Other providers sharing the same authorized official: QUEEN, JEFFREY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
27 |
$0.00 |
| 2020 |
44 |
$0.00 |
| 2021 |
27 |
$0.00 |
| 2022 |
14 |
$0.00 |
| 2024 |
209 |
$0.00 |
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 |
57 |
56 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
264 |
252 |
$0.00 |