STODDARD COUNTY ARC ISL
NPI: 1699896175
· DEXTER, MO 63841
· 320900000X
$293K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,213 |
$78K |
| 2023 |
6,386 |
$164K |
| 2024 |
5,857 |
$50K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A0110 |
Nonemergency transport bus |
15,444 |
825 |
$291K |
| T1019 |
Personal care ser per 15 min |
12 |
12 |
$2K |