LAKE FORK HEALTH SERVICES DISTRICT
NPI: 1790767192
· LAKE CITY, CO 81235
· Dental Clinic/Center
· NPI assigned 11/19/2005
Provider Details
| Authorized Official | DURMON, BEUFORD (MEDICAL DIRECTOR) |
| NPI Enumeration Date | 11/19/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
35 |
$3K |
| 2019 |
15 |
$888.67 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35 |
29 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$888.67 |