BHGXXIX, LLC
NPI: 1508277229
· POPLAR BLUFF, MO 63901
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 05/15/2014
$462.80
Total Medicaid Paid
Provider Details
| Authorized Official | GASAWAY, JEMECE (DIRECTOR OF LICENSING) |
| NPI Enumeration Date | 05/15/2014 |
Related Entities
Other providers sharing the same authorized official: GASAWAY, JEMECE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
260 |
$462.80 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| H0020 |
Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) |
260 |
12 |
$462.80 |