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GREATER FOUNDATION FOOT CLINICS EAST TEXAS, PLLC
GREATER FOUNDATION FOOT CLINICS EAST TEXAS, PLLC
NPI: 1801407887
· TYLER, TX 75701
· Foot & Ankle Surgery Podiatrist
· NPI assigned 08/12/2020
$371.99
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, DUSTIN (OWNER) |
| NPI Enumeration Date | 08/12/2020 |
Related Entities
Other providers sharing the same authorized official: SMITH, DUSTIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
60 |
$371.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 11721 |
|
60 |
53 |
$371.99 |