SANTA MONICA
NPI: 1003010398
· OMAHA, NE 68131
· Community/Behavioral Health Agency
· NPI assigned 06/12/2007
$459K
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, MARY (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 06/12/2007 |
Related Entities
Other providers sharing the same authorized official: DAVIS, MARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
120 |
$226K |
| 2022 |
82 |
$233K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2034 |
Alcohol and/or drug abuse halfway house services, per diem |
202 |
159 |
$459K |