DIANE SHIRAISHI & CHRIS OTA PTRS
NPI: 1720168677
· CAMPBELL, CA 95008
· 2251S0007X
$49.68
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
101 |
$49.68 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 97140 |
|
35 |
13 |
$49.68 |
| 97110 |
|
36 |
14 |
$0.00 |
| 97112 |
|
30 |
13 |
$0.00 |