THE DREAM CENTER

NPI: 1306562707 · LOS ANGELES, CA 90026 · Supports Brokerage Agency · NPI assigned 10/17/2022

$264K

Total Medicaid Paid

723

Total Claims

705

Beneficiaries

Codes Billed

2023-08

First Month

2024-10

Last Month

Provider Details

Authorized Official	JOHNSON, RICHARD (GRANTS MANAGER)
NPI Enumeration Date	10/17/2022

Other providers sharing the same authorized official: JOHNSON, RICHARD

Provider	City	State	Total Paid
RIVER HILLS COMMUNITY HEALTH CENTER INC.	OTTUMWA	IA	$77.32M
BAY CITY ISD	BAY CITY	TX	$1.40M
SOUTHEASTERN PATHOLOGY ASSOCIATES PA	LUMBERTON	NC	$410K
COASTAL FOOT & ANKLE WELLNESS CENTER LLC	ST AUGUSTINE	FL	$176K
RICHARD G JOHNSON MD INC	GLENDORA	CA	$53K
OKANOGAN SCHOOL DISTRICT #105	OKANOGAN	WA	$39K
OLYMPIC DENTAL & DENTURE CENTER,LLC	TACOMA	WA	$20K
VIAQUEST HOME HEALTH LLC	CINCINNATI	OH	$9K
NORTH WARREN EMERGENCY MEDICAL SERVICES	BLAIRSTOWN	NJ	$636.25
VIAQUEST HOSPICE OF INDIANA, LLC	LAFAYETTE	IN	$0.00

Year	Claims	Total Paid
2023	250	$99K
2024	473	$165K

Code	Description	Claims	Beneficiaries	Total Paid
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	573	573	$240K
H0043	Supported housing, per diem	57	55	$19K
G9012	Other specified case management service not elsewhere classified	93	77	$5K