4 2 RESTORE, LLC
NPI: 1912401183
· WINDSOR MILL, MD 21244
· Adolescent and Children Mental Health Clinic/Center
· NPI assigned 03/21/2018
Provider Details
| Authorized Official | MARTIN, DEADRA (OWNER/PROGRAM COORDINATOR) |
| NPI Enumeration Date | 03/21/2018 |
Related Entities
Other providers sharing the same authorized official: MARTIN, DEADRA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
102 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90834 |
Psychotherapy, 45 minutes with patient |
79 |
32 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
23 |
13 |
$2K |