NPI: 1528518909 · PROVO, UT 84604 · Dentist · NPI assigned 10/10/2016
| Authorized Official | GARCIA, ELIZABETH (OFFICE MANAGER) |
| NPI Enumeration Date | 10/10/2016 |
Other providers sharing the same authorized official: GARCIA, ELIZABETH
| Provider | City | State | Total Paid |
|---|---|---|---|
| A ROYAL BEHAVIORAL AGENCY LLC | LAS VEGAS | NV | $3.14M |
| BLOOMING MIND BEHAVIORAL SERVICES LLC | COLTON | CA | $380K |
| ELIZABETH GARCIA, DDS PROF. DENTAL CORP. | SOUTH GATE | CA | $25K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 26 | $3K |
| 2021 | 20 | $1K |
| 2022 | 17 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00170 | Anesthesia for intraoral procedures, including biopsy | 63 | 51 | $6K |