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KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC.
KIDS INTERVENTION & DIAGNOSTIC SERVICE CENTER, INC.
NPI: 1790838324
· BEND, OR 97701
· Pediatrics Physician
· NPI assigned 01/18/2007
$204K
Total Medicaid Paid
Provider Details
| Authorized Official | PATTERSON, BETH (GENERAL MANAGER) |
| NPI Enumeration Date | 01/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
17 |
$42K |
| 2022 |
12 |
$24K |
| 2023 |
27 |
$69K |
| 2024 |
52 |
$70K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99499 |
|
83 |
80 |
$200K |
| 90837 |
Psychotherapy, 53 minutes with patient |
25 |
14 |
$4K |