BEDROCK HCS AT BEAVER DAM LLC
NPI: 1679124705
· BEAVER DAM, WI 53916
· Skilled Nursing Facility
· NPI assigned 09/20/2019
$903.00
Total Medicaid Paid
Provider Details
| Authorized Official | TILLIM, ESTHER (BOOKKEEPER) |
| NPI Enumeration Date | 09/20/2019 |
Related Entities
Other providers sharing the same authorized official: TILLIM, ESTHER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
26 |
$903.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
26 |
12 |
$903.00 |