PAVILION FAMILY PRACTICE PC
NPI: 1346432184
· SOUTHFIELD, MI 48075
· Exclusive Provider Organization
· NPI assigned 08/15/2007
$776.97
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SAUNDERS, STANLEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
14 |
$776.97 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$776.97 |