COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
NPI: 1942306659
· CHARLOTTE COURT HOUSE, VA 23923
· 251K00000X
$351.16
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
15 |
$175.92 |
| 2023 |
15 |
$175.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90715 |
|
15 |
13 |
$175.92 |
| 90619 |
|
15 |
15 |
$175.24 |