Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › CALDWELL › IMAGING CENTER OF IDAHO, LLC

IMAGING CENTER OF IDAHO, LLC

NPI: 1801090204 · CALDWELL, ID 83605 · Bone Densitometry Radiologic Technologist · NPI assigned 06/12/2007

$2K
Total Medicaid Paid
12
Total Claims
12
Beneficiaries
1
Codes Billed
2020-02
First Month
2020-02
Last Month

Provider Details

Authorized OfficialCLARK, GREGORY (CEO)
NPI Enumeration Date06/12/2007

Related Entities

Other providers sharing the same authorized official: CLARK, GREGORY

ProviderCityStateTotal Paid
GREGORY CLARK, O.D., INC. COON RAPIDS MN $12K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $2K