RICHLAND COUNTY
NPI: 1275626053
· WAHPETON, ND 58075
· Public Health or Welfare Agency
· NPI assigned 10/02/2006
Provider Details
| Authorized Official | FLACK, DEBRA (ADMINISTRATOR DON) |
| NPI Enumeration Date | 10/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
124 |
$5K |
| 2019 |
124 |
$5K |
| 2020 |
86 |
$844.62 |
| 2021 |
55 |
$1K |
| 2022 |
26 |
$950.63 |
| 2023 |
158 |
$5K |
| 2024 |
166 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
57 |
57 |
$7K |
| 91322 |
|
78 |
75 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
246 |
239 |
$4K |
| 90682 |
|
32 |
30 |
$2K |
| 90480 |
|
79 |
76 |
$717.93 |
| 0064A |
|
16 |
12 |
$676.48 |
| 90673 |
|
25 |
22 |
$412.82 |
| 90686 |
|
97 |
92 |
$385.18 |
| 90688 |
|
15 |
15 |
$142.72 |
| 90656 |
|
16 |
16 |
$132.37 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$49.68 |
| 91306 |
|
16 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
49 |
46 |
$0.00 |