NPI: 1134407356 · SHERIDAN, WY 82801 · Clinic/Center · NPI assigned 07/22/2011
| Authorized Official | KAWULOK, DEBRA (PRESIDENT) |
| NPI Enumeration Date | 07/22/2011 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 82 | $5K |
| 2019 | 31 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 113 | 106 | $6K |