NPI: 1275544454 · SALT LAKE CITY, UT 84113 · Pediatric Surgery Physician · NPI assigned 08/11/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $977.82 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99203 | Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12 | 12 | $977.82 |