ULTRABRU, INC.
NPI: 1104241439
· CHAMPLIN, MN 55316
· Non-emergency Medical Transport (VAN)
· NPI assigned 02/24/2014
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | HONEBRINK, KARA (PRESIDENT) |
| NPI Enumeration Date | 02/24/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,809 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0215 |
Non-emergency transportation; mileage, per mile |
906 |
53 |
$0.00 |
| T2003 |
Non-emergency transportation; encounter/trip |
903 |
53 |
$0.00 |