WABASH VALLEY DERMATOLOGY AND MED SPA INC
NPI: 1619561479
· TERRE HAUTE, IN 47803
· 363LF0000X
$127K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
313 |
$17K |
| 2022 |
1,132 |
$35K |
| 2023 |
1,146 |
$40K |
| 2024 |
588 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
1,746 |
1,256 |
$70K |
| 99203 |
|
554 |
448 |
$31K |
| 99212 |
|
595 |
376 |
$13K |
| 17110 |
|
238 |
160 |
$12K |
| 99214 |
|
13 |
12 |
$1K |
| 11301 |
|
20 |
13 |
$815.71 |
| 99202 |
|
13 |
12 |
$405.50 |