COASTAL HEALTH & WELLNESS
NPI: 1871766584
· GALVESTON, TX 77551
· Dentist
· NPI assigned 04/03/2008
$125K
Total Medicaid Paid
Provider Details
| Authorized Official | GARCIA, MARLENE (BUSINESS DIRECTOR) |
| NPI Enumeration Date | 04/03/2008 |
Related Entities
Other providers sharing the same authorized official: GARCIA, MARLENE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
88 |
$10K |
| 2021 |
440 |
$39K |
| 2022 |
502 |
$44K |
| 2023 |
172 |
$28K |
| 2024 |
12 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
984 |
807 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
200 |
$7K |