NPI: 1184006876 · GILLETTE, WY 82716 · Point of Service · NPI assigned 06/18/2015
| Authorized Official | BOLTIN, KELLEY (THERAPIST) |
| NPI Enumeration Date | 06/18/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 305 | $26K |
| 2019 | 86 | $7K |
| 2020 | 48 | $4K |
| 2021 | 16 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| H2019 | Therapeutic behavioral services, per 15 minutes | 455 | 265 | $38K |