MID-SOUTH DERMATOLOGY, PC
NPI: 1720011679
· BARTLETT, TN 38134
· Dermatology Physician
· NPI assigned 07/07/2006
$127.50
Total Medicaid Paid
Provider Details
| Authorized Official | TULI, MALIKA (OWNER) |
| NPI Enumeration Date | 07/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
42 |
$91.44 |
| 2021 |
13 |
$36.06 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
25 |
25 |
$84.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
12 |
$29.29 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$13.54 |