MELENDEZ DE MIRANDA, JOSE
NPI: 1730834557
· SAN JUAN, PR 00921
· Student in an Organized Health Care Education/Training Program
· NPI assigned 02/21/2022
$642.73
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
33 |
$642.73 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
14 |
14 |
$371.05 |
| D1999 |
|
19 |
19 |
$271.68 |