FETT DERM CORP
NPI: 1508501305
· LOS ANGELES, CA 90025
· Specialist
· NPI assigned 05/05/2022
$123K
Total Medicaid Paid
Provider Details
| Authorized Official | FETT, SABRINA (PRESIDENT) |
| NPI Enumeration Date | 05/05/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
65 |
$19K |
| 2024 |
700 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 17380 |
|
567 |
205 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
198 |
66 |
$936.00 |