NPI: 1518486091 · PLANO, TX 75024 · Ambulatory Surgical Clinic/Center · NPI assigned 09/15/2017
| Authorized Official | WALLS, VANESSA (PRESIDENT, NORTHERN MARKET) |
| NPI Enumeration Date | 09/15/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 14 | $22K |
| 2023 | 26 | $39K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 40 | 39 | $61K |