CRAIG W. WIESENHUTTER, MD
NPI: 1487870796
· COEUR D ALENE, ID 83814
· 207RR0500X
$26.94
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
36 |
$26.94 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 85025 |
|
12 |
12 |
$12.83 |
| 85652 |
|
12 |
12 |
$7.20 |
| 36415 |
|
12 |
12 |
$6.91 |