SANDALWOOD OPERATING LLC
NPI: 1619413572
· DAYTONA BEACH, FL 32114
· 314000000X
$160K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
950 |
$1K |
| 2019 |
1,751 |
$54K |
| 2020 |
8,049 |
$83K |
| 2021 |
8,964 |
$22K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97110 |
|
8,392 |
335 |
$93K |
| 97530 |
|
10,179 |
373 |
$65K |
| 90674 |
|
23 |
23 |
$590.65 |
| G0008 |
Admin influenza virus vac |
121 |
80 |
$590.65 |
| G8979 |
Mobility goal status |
21 |
12 |
$25.28 |
| 97535 |
|
896 |
67 |
$0.00 |
| 90686 |
|
44 |
28 |
$0.00 |
| Q2035 |
Afluria vacc, 3 yrs & >, im |
38 |
23 |
$0.00 |