DAVITA DAKOTA DIALYSIS CENTER LLC
NPI: 1356532550
· FARGO, ND 58104
· 261QE0700X
$1.21M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,015 |
$252K |
| 2020 |
4,588 |
$821K |
| 2022 |
336 |
$113K |
| 2023 |
134 |
$21K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
3,254 |
231 |
$1.17M |
| A4657 |
Syringe w/wo needle |
833 |
174 |
$27K |
| Q4081 |
Epoetin alfa, 100 units esrd |
1,699 |
116 |
$9K |
| J1756 |
Iron sucrose injection |
225 |
62 |
$784.59 |
| 83970 |
|
12 |
12 |
$2.28 |
| 85041 |
|
25 |
24 |
$0.18 |
| 85048 |
|
25 |
24 |
$0.15 |