COMMUNITY MEDICAL CENTER DIALYSIS
NPI: 1992284814
· MISSOULA, MT 59801
· End-Stage Renal Disease (ESRD) Treatment Clinic/Center
· NPI assigned 08/10/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | WOOD, WILLIAM (PRESIDENT) |
| NPI Enumeration Date | 08/10/2018 |
Related Entities
Other providers sharing the same authorized official: WOOD, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
135 |
$0.00 |
| 2022 |
1,004 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 82728 |
|
15 |
12 |
$0.00 |
| A4657 |
Syringe, with or without needle, each |
66 |
12 |
$0.00 |
| 90999 |
Unlisted dialysis procedure, inpatient or outpatient |
1,010 |
87 |
$0.00 |
| 83970 |
|
18 |
12 |
$0.00 |
| 83540 |
|
15 |
12 |
$0.00 |
| 84466 |
|
15 |
12 |
$0.00 |