COUNTY OF DODGE
NPI: 1689783987
· DODGE CENTER, MN 55927
· Skilled Nursing Facility
· NPI assigned 08/30/2006
$570.00
Total Medicaid Paid
Provider Details
| Authorized Official | ELLIS, KELLY (ADMINISTRATOR) |
| NPI Enumeration Date | 08/30/2006 |
Related Entities
Other providers sharing the same authorized official: ELLIS, KELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
30 |
$570.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
15 |
14 |
$390.00 |
| G0008 |
Administration of influenza virus vaccine |
15 |
14 |
$180.00 |