NPI: 1548584485 · MESQUITE, TX 75150 · Ambulatory Surgical Clinic/Center · NPI assigned 03/22/2010
| Authorized Official | JACOBS, CRAIG (MANAGING MEMBER) |
| NPI Enumeration Date | 03/22/2010 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 77 | $45K |
| 2021 | 292 | $151K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 369 | 361 | $196K |