GREEN BAY PLASTIC SURGICAL ASSOC
NPI: 1952420382
· GREEN BAY, WI 54301
· Plastic Surgery Physician
· NPI assigned 03/28/2007
$411.07
Total Medicaid Paid
Provider Details
| Authorized Official | PLANTE, KARA (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 03/28/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
17 |
$411.07 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
12 |
$411.07 |