BEND DERMATOLOGY CLINIC LLC
NPI: 1548412224
· BEND, OR 97701
· Clinical Medical Laboratory
· NPI assigned 10/14/2008
$462.91
Total Medicaid Paid
Provider Details
| Authorized Official | MAITLAND, SUZANNE (ADMINISTRATOR) |
| Parent Organization | BEND DERMATOLOGY CLINIC LLC |
| NPI Enumeration Date | 10/14/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
31 |
$462.91 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
31 |
25 |
$462.91 |