Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NJ › NEWARK › CITY OF NEWARK DEPT OF CHILD AND FAMILY WELL BEING MOBILE MEDICAL VAN

CITY OF NEWARK DEPT OF CHILD AND FAMILY WELL BEING MOBILE MEDICAL VAN

NPI: 1003181553 · NEWARK, NJ 07102 · Federally Qualified Health Center (FQHC) · NPI assigned 03/16/2012

$168.00
Total Medicaid Paid
25
Total Claims
25
Beneficiaries
2
Codes Billed
2018-05
First Month
2023-08
Last Month

Provider Details

Authorized OfficialWILLIAMS, L'TANYA (DIRECTOR)
NPI Enumeration Date03/16/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $168.00
2023 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1120 Prophylaxis - child 12 12 $168.00
D1330 13 13 $0.00