IVY COURT - COEUR D'ALENE, LLC
NPI: 1518470343
· COEUR D ALENE, ID 83814
· 314000000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$0.00 |
| 2019 |
110 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
110 |
24 |
$0.00 |
| 90686 |
|
15 |
15 |
$0.00 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$0.00 |