CANOPY MEDICAL CLINIC, PLLC
NPI: 1386280261
· FARGO, ND 58103
· Women's Health Nurse Practitioner
· NPI assigned 11/26/2019
$561.00
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
74 |
$333.09 |
| 2023 |
67 |
$88.29 |
| 2024 |
74 |
$139.62 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$272.55 |
| 96160 |
|
128 |
108 |
$169.08 |
| 96127 |
|
75 |
66 |
$119.37 |