NPI: 1770087447 · HILLSBORO, OR 97123 · Clinical Social Worker · NPI assigned 03/19/2018
| Authorized Official | DAVIS, LILY (DIRECTOR) |
| NPI Enumeration Date | 03/19/2018 |
Other providers sharing the same authorized official: DAVIS, LILY
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAGONER FAMILY DENTAL, PLLC | WAGONER | OK | $187K |
| WILLOW DENTAL LLC | OMAHA | NE | $74K |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 84 | $5K |
| 2021 | 302 | $22K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 386 | 149 | $28K |