Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DOLORES COUNTY COMMISSIONERS

NPI: 1174772073 · DOVE CREEK, CO 81324 · Public Health or Welfare Agency · NPI assigned 09/16/2008

$1K
Total Medicaid Paid
54
Total Claims
54
Beneficiaries
2
Codes Billed
2019-10
First Month
2022-08
Last Month

Provider Details

Authorized OfficialRANDOLPH, MARY (DIRECTOR)
NPI Enumeration Date09/16/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $221.43
2020 12 $181.18
2022 29 $670.15

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 42 42 $745.16
90472 Immunization administration, each additional vaccine (list separately) 12 12 $327.60