CENTRAL IOWA DERMATOLOGY LLC
NPI: 1922562743
· WEST DES MOINES, IA 50266
· Dermatopathology Physician
· NPI assigned 01/25/2019
$185K
Total Medicaid Paid
Provider Details
| Authorized Official | HARLAN, ERIC (OWNER/MEDICAL DIRECTOR) |
| NPI Enumeration Date | 01/25/2019 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
148 |
$5K |
| 2020 |
824 |
$33K |
| 2021 |
1,527 |
$85K |
| 2022 |
1,247 |
$62K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
|
901 |
835 |
$75K |
| 99214 |
|
799 |
752 |
$36K |
| 99202 |
|
574 |
544 |
$25K |
| 99213 |
|
782 |
747 |
$24K |
| 17110 |
|
314 |
272 |
$10K |
| 99203 |
|
134 |
132 |
$8K |
| 88305 |
|
185 |
171 |
$7K |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
57 |
53 |
$181.05 |