MOSCOW OF CASCADIA, LLC
NPI: 1194236406
· MOSCOW, ID 83843
· 314000000X
$840.69
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$0.00 |
| 2024 |
13 |
$840.69 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 94760 |
|
13 |
13 |
$840.69 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |