DIAGNOSTIC X-RAY SERVICE, INC.
NPI: 1699853606
· BUFFALO, NY 14214
· Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
· NPI assigned 11/01/2006
$123K
Total Medicaid Paid
Provider Details
| Authorized Official | WUERSTLE, JACOB (PRESIDENT) |
| NPI Enumeration Date | 11/01/2006 |
Related Entities
Other providers sharing the same authorized official: WUERSTLE, JACOB
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
192 |
$15K |
| 2019 |
252 |
$19K |
| 2020 |
253 |
$20K |
| 2021 |
286 |
$22K |
| 2022 |
229 |
$18K |
| 2023 |
179 |
$14K |
| 2024 |
171 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
698 |
697 |
$72K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
653 |
652 |
$29K |
| 76641 |
|
211 |
210 |
$23K |