PROVIDENCE PHYSICIAN SERVICES CO.
NPI: 1831146968
· SPOKANE, WA 99204
· Developmental - Behavioral Pediatrics Physician
· NPI assigned 05/26/2006
$650.25
Total Medicaid Paid
Provider Details
| Authorized Official | HARRIS, DAN (CFO) |
| NPI Enumeration Date | 05/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$650.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
14 |
13 |
$650.25 |