MEDICAL IMAGING CENTER OF SOUTHERN CALIFORNIA
NPI: 1700907433
· SANTA MONICA, CA 90403
· Diagnostic Radiology Physician
· NPI assigned 04/02/2007
Provider Details
| Authorized Official | LAYNE, DAIRZETTE (BILLING MANAGER) |
| NPI Enumeration Date | 04/02/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
12 |
$1K |
| 2021 |
49 |
$5K |
| 2022 |
62 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 71260 |
Computed tomography, thorax, diagnostic; with contrast material |
71 |
65 |
$7K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
25 |
25 |
$5K |
| Q9967 |
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml |
27 |
27 |
$231.12 |