TETON NUCLEAR MEDICINE SERVICE LLC
NPI: 1265612543
· IDAHO FALLS, ID 83404
· Nuclear Cardiology Physician
· NPI assigned 11/05/2007
Provider Details
| Authorized Official | DAVIS, DANNY (MANAGER) |
| NPI Enumeration Date | 11/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$730.92 |
| 2021 |
40 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 78264 |
|
14 |
12 |
$3K |
| 93015 |
|
25 |
25 |
$1K |
| A9541 |
Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries |
14 |
12 |
$532.04 |