NPI: 1912172958 · FRUITLAND, ID 83619 · Exclusive Provider Organization · NPI assigned 04/29/2008
| Authorized Official | HILLAM, RYAN (SURGEON) |
| NPI Enumeration Date | 04/29/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 59 | $1K |
| 2019 | 25 | $624.45 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 84 | 84 | $2K |