GROUP HEALTHPLAN INC
NPI: 1811288269
· LAKE ELMO, MN 55042
· Dental Clinic/Center
· NPI assigned 04/20/2011
Provider Details
| Authorized Official | CERMAK, PENNY (CFO) |
| NPI Enumeration Date | 04/20/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
89 |
$13K |
| 2022 |
12 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
72 |
72 |
$9K |
| D7880 |
|
14 |
14 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$652.20 |