LIBERTY MEDICAL DEVELOPMENT, LLC
NPI: 1528623329
· CHRISTIANSTED, VI 00820
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/07/2019
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | BACOT, BRIAN (CEO) |
| NPI Enumeration Date | 05/07/2019 |
Related Entities
Other providers sharing the same authorized official: BACOT, BRIAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$0.00 |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4550 |
Surgical trays |
25 |
24 |
$0.00 |