COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
NPI: 1881657211
· MONTROSS, VA 22520
· Public Health or Welfare Agency
· NPI assigned 04/07/2006
$465.16
Total Medicaid Paid
Provider Details
| Authorized Official | HOUSE, SHERRY (ADMINISTRATOR) |
| NPI Enumeration Date | 04/07/2006 |
Related Entities
Other providers sharing the same authorized official: HOUSE, SHERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
14 |
$139.70 |
| 2023 |
26 |
$325.46 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90619 |
|
26 |
26 |
$325.46 |
| 90734 |
|
14 |
14 |
$139.70 |