URBAN INDIAN CENTER OF SALT LAKE
NPI: 1154773158
· SALT LAKE CITY, UT 84115
· Federally Qualified Health Center (FQHC)
· NPI assigned 07/01/2016
Provider Details
| Authorized Official | POSS, WILLIAM (CFO) |
| NPI Enumeration Date | 07/01/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
416 |
$35K |
| 2022 |
39 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
262 |
233 |
$42K |
| 0071A |
|
18 |
18 |
$0.00 |
| 91301 |
|
69 |
68 |
$0.00 |
| 0011A |
|
22 |
22 |
$0.00 |
| 0012A |
|
23 |
23 |
$0.00 |
| 0072A |
|
18 |
18 |
$0.00 |
| 91307 |
|
43 |
40 |
$0.00 |