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CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL
CENTERS FOR DEVELOPMENTALLY DISABLED, NORTH CENTRAL AL
NPI: 1740493436
· DECATUR, AL 35601
· Family Nurse Practitioner
· NPI assigned 05/08/2007
$66.04
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, SHAYLA (COMPTROLLER) |
| NPI Enumeration Date | 05/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
71 |
$66.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
47 |
$66.04 |
| 90756 |
|
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |