APPLEWOOD GROUP HOME
NPI: 1194840702
· LEBANON, MO 65536
· Mental Illness Intermediate Care Facility
· NPI assigned 03/20/2007
$956.65
Total Medicaid Paid
Provider Details
| Authorized Official | BOGGS, GARY (PRESIDENT) |
| NPI Enumeration Date | 03/20/2007 |
Related Entities
Other providers sharing the same authorized official: BOGGS, GARY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2024 |
12 |
$956.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1002 |
Rn services, up to 15 minutes |
12 |
12 |
$956.65 |