LOCAL ROOTS HEALTH CARE, PLLC
NPI: 1609468347
· KENNEBUNK, ME 04043
· Health Service Clinic/Center
· NPI assigned 02/04/2021
$57.00
Total Medicaid Paid
Provider Details
| Authorized Official | HOLMQUIST, KYLE (MANAGING MEMBER) |
| NPI Enumeration Date | 02/04/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$57.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$57.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |