THE FORT DEFIANCE INDIAN HOSPITAL BOARD, INCORPORATION
NPI: 1487977914
· FORT DEFIANCE, AZ 86504
· Ambulatory Surgical Clinic/Center
· NPI assigned 03/11/2010
$103K
Total Medicaid Paid
Provider Details
| Authorized Official | YOUNG, NAOMI (CHIEF EXECUTIVE OFFICER) |
| NPI Enumeration Date | 03/11/2010 |
Related Entities
Other providers sharing the same authorized official: YOUNG, NAOMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$10K |
| 2019 |
78 |
$19K |
| 2020 |
94 |
$26K |
| 2021 |
98 |
$25K |
| 2022 |
26 |
$3K |
| 2023 |
73 |
$17K |
| 2024 |
12 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 41899 |
Unlisted procedure, dentoalveolar structures |
159 |
159 |
$44K |
| 43239 |
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple |
146 |
145 |
$36K |
| 45378 |
Colonoscopy, flexible; diagnostic, including collection of specimen(s) |
76 |
76 |
$18K |
| 45380 |
Colonoscopy, flexible; with biopsy, single or multiple |
15 |
15 |
$4K |
| G8907 |
Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility |
25 |
25 |
$0.00 |