NPI: 1801899687 · TRINITY, FL 34655 · Ambulatory Surgical Clinic/Center · NPI assigned 05/24/2005
| Authorized Official | ST LOUIS, DONNA (VP) |
| NPI Enumeration Date | 05/24/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 49 | $25K |
| 2020 | 22 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 71 | 51 | $34K |