MOUNTAIN WEST CLINICAL SERVICES
NPI: 1578210753
· BOUNTIFUL, UT 84010
· Family Medicine Physician
· NPI assigned 03/07/2022
$575.27
Total Medicaid Paid
Provider Details
| Authorized Official | LINDBERG, JULIE (OWNER/AUTHORIZED OFFICIAL) |
| NPI Enumeration Date | 03/07/2022 |
Related Entities
Other providers sharing the same authorized official: LINDBERG, JULIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
225 |
$575.27 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
100 |
59 |
$575.27 |
| 99497 |
|
125 |
60 |
$0.00 |