GOMEZ-FORTUNA, MAIRALISA
NPI: 1992842090
· CANOVANAS, PR 00729
· 208D00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
92 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
43 |
43 |
$0.00 |
| 3078F |
|
32 |
32 |
$0.00 |
| 3074F |
|
17 |
17 |
$0.00 |