KINGDOM CARE TRANSPORTATION LLC
NPI: 1407367998
· HENRICO, VA 23231
· Non-emergency Medical Transport (VAN)
· NPI assigned 10/24/2017
$26.12
Total Medicaid Paid
Provider Details
| Authorized Official | FULLER, STACI (ADMINISTRATOR) |
| NPI Enumeration Date | 10/24/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$26.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
15 |
15 |
$26.12 |