WAKE FOREST AMBULATORY VENTURES, LLC
NPI: 1225568884
· WINSTON-SALEM, NC 27103
· Ambulatory Surgical Clinic/Center
· NPI assigned 06/15/2017
$101K
Total Medicaid Paid
Provider Details
| Authorized Official | DUNSTON, DESIREE (ADMINISTRATOR) |
| NPI Enumeration Date | 06/15/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
24 |
$4.91 |
| 2022 |
359 |
$52K |
| 2023 |
296 |
$13K |
| 2024 |
278 |
$36K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
214 |
132 |
$83K |
| 14040 |
|
44 |
38 |
$11K |
| 54300 |
|
14 |
13 |
$8K |
| A4649 |
Surgical supply; miscellaneous |
685 |
394 |
$19.55 |