DE LA VEGA MEDICAL CENTER, LLC
NPI: 1861907677
· HIALEAH GARDENS, FL 33018
· Clinic/Center
· NPI assigned 12/04/2017
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | PEREZ, JOSE (MANAGER) |
| NPI Enumeration Date | 12/04/2017 |
Related Entities
Other providers sharing the same authorized official: PEREZ, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
28 |
$0.00 |
| 2023 |
181 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 1170F |
|
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
14 |
$0.00 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
13 |
$0.00 |
| 3074F |
|
22 |
15 |
$0.00 |
| 1159F |
|
36 |
27 |
$0.00 |
| 1160F |
|
36 |
27 |
$0.00 |
| 3078F |
|
16 |
12 |
$0.00 |
| 1158F |
|
22 |
15 |
$0.00 |