TRITON #2125
NPI: 1669551222
· DODGE CENTER, MN 55927
· Local Education Agency (LEA)
· NPI assigned 11/03/2006
$121K
Total Medicaid Paid
Provider Details
| Authorized Official | KELLY, ROBERT (SUPERINTENDENT) |
| NPI Enumeration Date | 11/03/2006 |
Related Entities
Other providers sharing the same authorized official: KELLY, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
889 |
$25K |
| 2022 |
2,083 |
$63K |
| 2023 |
1,217 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1018 |
School-based individualized education program (iep) services, bundled |
4,189 |
675 |
$121K |