FORMAN, JACK
NPI: 1639104458
· FLEMINGTON, NJ 08822
· Podiatrist
· NPI assigned 07/11/2006
$50.25
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
82 |
$23.10 |
| 2021 |
105 |
$9.05 |
| 2022 |
58 |
$18.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 11720 |
|
179 |
178 |
$27.15 |
| 11721 |
|
66 |
65 |
$23.10 |