SAYBROOK DERMATOLOGY LLC
NPI: 1902909708
· OLD SAYBROOK, CT 06475
· Dermatology Physician
· NPI assigned 09/07/2006
$54.34
Total Medicaid Paid
Provider Details
| Authorized Official | LARSON, HEATHER (OFFICE MANAGER) |
| NPI Enumeration Date | 09/07/2006 |
Related Entities
Other providers sharing the same authorized official: LARSON, HEATHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23 |
$54.34 |
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 |
23 |
12 |
$54.34 |