MISSOULA OSTEOPATHIC CLINIC, LLC
NPI: 1326487430
· MISSOULA, MT 59802
· Family Medicine Physician
· NPI assigned 06/21/2013
Provider Details
| Authorized Official | WALLACE, SAM (OWNER/PHYSICIAN) |
| NPI Enumeration Date | 06/21/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
214 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
148 |
84 |
$15K |
| 98928 |
|
66 |
50 |
$6K |