NPI: 1386383693 · PLYMOUTH, MN 55442 · Primary Care Clinic/Center · NPI assigned 06/03/2022
| Authorized Official | MESNIK, MATT (CHIEF MEDICAL OFFICER) |
| NPI Enumeration Date | 06/03/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 19 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $1K |