GREATER DALLAS ORTHOPAEDICS, PLLC
NPI: 1689085771
· DALLAS, TX 75251
· Orthopaedic Surgery Physician
· NPI assigned 05/12/2014
$453.23
Total Medicaid Paid
Provider Details
| Authorized Official | MOLLABASHY, AL (PRESIDENT) |
| NPI Enumeration Date | 05/12/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$362.30 |
| 2019 |
12 |
$90.93 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 15273 |
|
14 |
12 |
$245.40 |
| 11981 |
|
16 |
13 |
$116.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$90.93 |
| 15274 |
|
14 |
12 |
$0.00 |