STATE OF MAINE
NPI: 1184020091
· BANGOR, ME 04401
· Community/Behavioral Health Agency
· NPI assigned 11/05/2014
$246.43
Total Medicaid Paid
Provider Details
| Authorized Official | CODY, CAROL (FINANCIAL MANAGER) |
| NPI Enumeration Date | 11/05/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
20 |
$246.43 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
12 |
$246.43 |