CANON PROFESSIONAL WELLNESS CLINIC LLC
NPI: 1780384560
· CANON CITY, CO 81212
· Non-Surgical Family Planning Clinic/Center
· NPI assigned 03/09/2023
$917.95
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, LESLIE (OWNER) |
| NPI Enumeration Date | 03/09/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
20 |
$917.95 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
17 |
$917.95 |