NPI: 1114115664 · PROVIDENCE, UT 84332 · Family Medicine Physician · NPI assigned 10/10/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $878.70 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14 | 12 | $878.70 |