CLINTON COUNTY SENATE BILL 40 BOARD
NPI: 1598142069
· LATHROP, MO 64465
· Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
· NPI assigned 05/04/2015
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | GRAYSON, SHARON (PRESIDENT OF THE BOARD) |
| NPI Enumeration Date | 05/04/2015 |
Related Entities
Other providers sharing the same authorized official: GRAYSON, SHARON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,397 |
$0.00 |
| 2019 |
80 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9012 |
Other specified case management service not elsewhere classified |
3,477 |
845 |
$0.00 |