NPI: 1447928312 · CLEARWATER, FL 33756 · Hospitalist Physician · NPI assigned 09/03/2021
| Authorized Official | GREEN, TIFFANY (OWNER) |
| NPI Enumeration Date | 09/03/2021 |
Other providers sharing the same authorized official: GREEN, TIFFANY
| Provider | City | State | Total Paid |
|---|---|---|---|
| PEDIATRIC DENTISTRY OF RIDGELAND, PLLC | RIDGELAND | MS | $147K |
| GREEN HAVEN ADULT DAY PROGRAM LLC | HAZELWOOD | MO | $27K |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 16 | $1K |
| 2023 | 18 | $826.84 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 34 | 27 | $2K |