NPI: 1871164855 · LAS VEGAS, NV 89118 · Surgery Physician · NPI assigned 07/09/2021
| Authorized Official | NGUYEN, KIM (MEDICAL DIRECTOR/OWNER) |
| NPI Enumeration Date | 07/09/2021 |
Other providers sharing the same authorized official: NGUYEN, KIM
| Provider | City | State | Total Paid |
|---|---|---|---|
| SMILE IMAGE PA | HOUSTON | TX | $420K |
| KIM O NGUYEN O D INC | LAGUNA HILLS | CA | $94K |
| WILLOWCHASE MEDICAL PLLC | HOUSTON | TX | $4K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 16 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 16 | 15 | $2K |