MENDEZ, DOMINGO
NPI: 1992862627
· MOCA, PR 00676
· Health Service Clinic/Center
· NPI assigned 01/02/2007
$308.76
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
156 |
$308.76 |
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 |
130 |
89 |
$248.76 |
| 3074F |
|
13 |
13 |
$30.00 |
| 3078F |
|
13 |
13 |
$30.00 |