DOMAIN SURGICAL, LLC
NPI: 1780167866
· AMARILLO, TX 79109
· Ambulatory Surgical Clinic/Center
· NPI assigned 09/13/2018
$1.92M
Total Medicaid Paid
Provider Details
| Authorized Official | HESS, ANGELA (GENERAL DIRECTOR) |
| NPI Enumeration Date | 09/13/2018 |
Related Entities
Other providers sharing the same authorized official: HESS, ANGELA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
127 |
$53K |
| 2021 |
607 |
$285K |
| 2022 |
1,031 |
$524K |
| 2023 |
978 |
$492K |
| 2024 |
850 |
$562K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 41899 |
Unlisted procedure, dentoalveolar structures |
3,383 |
3,294 |
$1.67M |
| G0330 |
Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room |
210 |
206 |
$250K |