SOUTHERN HEALTH AND WELLNESS, INC
NPI: 1366453946
· MONETTE, AR 72447
· Long Term Care Pharmacy
· NPI assigned 08/10/2006
$193.88
Total Medicaid Paid
Provider Details
| Authorized Official | LOMAX, KYLE (PRESIDENT) |
| NPI Enumeration Date | 08/10/2006 |
Related Entities
Other providers sharing the same authorized official: LOMAX, KYLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43 |
$193.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
15 |
15 |
$160.00 |
| 0011A |
|
15 |
13 |
$33.88 |
| 0012A |
|
13 |
13 |
$0.00 |