NPI: 1578765087 · LINCOLN, NE 68505 · Podiatrist · NPI assigned 06/05/2007
| Authorized Official | FOUNTAIN, DALE (OWNER) |
| NPI Enumeration Date | 06/05/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 213 | $3K |
| 2019 | 199 | $3K |
| 2020 | 130 | $2K |
| 2021 | 44 | $862.93 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 11721 | 586 | 547 | $8K |