FAMILY HEALTH CENTERS OF SD
NPI: 1043603319
· SPRING VALLEY, CA 91977
· Community/Behavioral Health Agency
· NPI assigned 03/11/2015
$660.00
Total Medicaid Paid
Provider Details
| Authorized Official | ANDERSON, KATHY (MFT INTERN) |
| NPI Enumeration Date | 03/11/2015 |
Related Entities
Other providers sharing the same authorized official: ANDERSON, KATHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
84 |
$660.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
33 |
33 |
$660.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$0.00 |
| 99172 |
|
20 |
20 |
$0.00 |
| 92551 |
|
19 |
19 |
$0.00 |