NPI: 1497458319 · CLARENDON, TX 79226 · Clinic/Center · NPI assigned 03/22/2023
| Authorized Official | PRATT, DUSTIN (MD) |
| NPI Enumeration Date | 03/22/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 34 | $846.46 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 34 | 26 | $846.46 |