100 SOUTH BLOOMFIELD PROFESSIONAL, LLC
NPI: 1912519067
· BLOOMFIELD, NM 87413
· 1223G0001X
$506K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$0.00 |
| 2021 |
4,032 |
$112K |
| 2022 |
4,298 |
$122K |
| 2023 |
3,058 |
$70K |
| 2024 |
6,031 |
$202K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0274 |
|
1,949 |
1,925 |
$55K |
| D1120 |
|
1,780 |
1,757 |
$55K |
| D0150 |
|
1,345 |
1,335 |
$47K |
| D1208 |
|
2,522 |
2,488 |
$45K |
| D2392 |
|
585 |
382 |
$43K |
| D0210 |
|
536 |
527 |
$32K |
| D1110 |
|
695 |
686 |
$31K |
| D0220 |
|
2,780 |
2,712 |
$30K |
| D7210 |
|
270 |
103 |
$30K |
| D2391 |
|
509 |
279 |
$28K |
| D7140 |
|
413 |
265 |
$27K |
| D0140 |
|
737 |
723 |
$21K |
| D0230 |
|
2,276 |
2,192 |
$21K |
| D0120 |
|
591 |
585 |
$13K |
| D4346 |
|
91 |
91 |
$11K |
| D0330 |
|
175 |
175 |
$8K |
| D2393 |
|
57 |
41 |
$5K |
| D2335 |
|
21 |
13 |
$2K |
| D1351 |
|
45 |
14 |
$1K |
| D1206 |
|
42 |
42 |
$683.76 |
| D1999 |
|
24 |
20 |
$0.00 |