UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH

NPI: 1740397066 · FORT WORTH, TX 76107 · Undersea and Hyperbaric Medicine (Preventive Medicine) Physician · NPI assigned 08/23/2006

$171.28

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2021-04

First Month

2021-04

Last Month

Provider Details

Authorized Official	HENDERSON, LESLIE (REVENUE CYCLE DIRECTOR)
Parent Organization	UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
NPI Enumeration Date	08/23/2006

Other providers sharing the same authorized official: HENDERSON, LESLIE

Provider	City	State	Total Paid
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH	FORT WORTH	TX	$1.25M
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH	FORT WORTH	TX	$1.11M
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH	FORT WORTH	TX	$830K
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH	FORT WORTH	TX	$762K
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH	FORT WORTH	TX	$85K
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH	FORT WORTH	TX	$6K
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH	FORT WORTH	TX	$0.00

Year	Claims	Total Paid
2021	23	$171.28

Code	Description	Claims	Beneficiaries	Total Paid
92015	Determination of refractive state	23	12	$171.28