NPI: 1225510159 · SAINT GEORGE, UT 84770 · Ambulatory Surgical Clinic/Center · NPI assigned 09/06/2018
| Authorized Official | RICHENS, SHARON (OWNER) |
| NPI Enumeration Date | 09/06/2018 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 18 | $19K |
| 2023 | 27 | $27K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 45 | 45 | $46K |