BLACK CANYON SURGICAL CENTER, LLC
NPI: 1578515367
· MONTROSE, CO 81401
· Ambulatory Surgical Clinic/Center
· NPI assigned 05/17/2006
$112K
Total Medicaid Paid
Provider Details
| Authorized Official | HARPER, JOHN (ADMINISTRATOR) |
| NPI Enumeration Date | 05/17/2006 |
Related Entities
Other providers sharing the same authorized official: HARPER, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
12 |
$13K |
| 2022 |
14 |
$14K |
| 2023 |
30 |
$30K |
| 2024 |
56 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
112 |
104 |
$112K |