THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
NPI: 1962484022
· DAYTONA BEACH, FL 32114
· 332BN1400X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
42 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90662 |
|
21 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
21 |
12 |
$0.00 |