SANTO DOMINGO BEHAVIORAL HEALTH PROGRAM
NPI: 1396944211
· SANTO DOMINGO PUEBLO, NM 87052
· 251S00000X
$235K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
253 |
$109K |
| 2024 |
219 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90834 |
|
397 |
218 |
$190K |
| 90837 |
|
75 |
46 |
$45K |