BUCK JACK LLC
NPI: 1356954424
· FOUNTAIN, CO 80817
· Behavioral Analyst
· NPI assigned 08/28/2020
Provider Details
| Authorized Official | DENN, TANNER (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 08/28/2020 |
Related Entities
Other providers sharing the same authorized official: DENN, TANNER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
196 |
$36K |
| 2022 |
184 |
$37K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96133 |
|
265 |
169 |
$59K |
| 96137 |
|
68 |
51 |
$10K |
| 96132 |
|
34 |
29 |
$4K |
| 96136 |
|
13 |
12 |
$762.60 |