NPI: 1518496173 · MT PLEASANT, PA 15666 · Family Medicine Physician · NPI assigned 06/07/2017
| Authorized Official | DETAR, DONNA (BILLER) |
| NPI Enumeration Date | 06/07/2017 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 76 | $992.25 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 76 | 27 | $992.25 |