BENTON COUNTY
NPI: 1952053522
· CORVALLIS, OR 97330
· Case Management Agency
· NPI assigned 01/25/2022
$460.36
Total Medicaid Paid
Provider Details
| Authorized Official | MOLLEL, LACEY (HEALTH DEPARTMENT DIRECTOR) |
| NPI Enumeration Date | 01/25/2022 |
Related Entities
Other providers sharing the same authorized official: MOLLEL, LACEY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
16 |
$460.36 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1017 |
Targeted case management, each 15 minutes |
16 |
15 |
$460.36 |