OLEG ANTONOV MD PC
NPI: 1710307087
· PHILADELPHIA, PA 19116
· Dermatology Physician
· NPI assigned 04/24/2014
$250.36
Total Medicaid Paid
Provider Details
| Authorized Official | ANTONOV, OLEG (OWNER) |
| NPI Enumeration Date | 04/24/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,145 |
$250.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
744 |
640 |
$193.88 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
104 |
104 |
$56.48 |
| 11900 |
|
145 |
128 |
$0.00 |
| J2001 |
Injection, lidocaine hcl for intravenous infusion, 10 mg |
79 |
78 |
$0.00 |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
14 |
12 |
$0.00 |
| 11100 |
|
59 |
55 |
$0.00 |