DENTO-MEDICS, CSP
NPI: 1912975723
· SAN GERMAN, PR 00683
· Internal Medicine Physician
· NPI assigned 03/08/2006
$454.14
Total Medicaid Paid
Provider Details
| Authorized Official | VARGAS, FREDICKSON (PRESIDENT/SECRETARY) |
| NPI Enumeration Date | 03/08/2006 |
Related Entities
Other providers sharing the same authorized official: VARGAS, FREDICKSON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
26 |
$0.00 |
| 2022 |
27 |
$454.14 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
27 |
27 |
$454.14 |
| 3008F |
|
13 |
12 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$0.00 |