920 SOUTH MAIN STREET OPERATIONS LLC
NPI: 1841770740
· NEW LEXINGTON, OH 43764
· 314000000X
$646.25
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
799 |
$646.25 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97530 |
|
150 |
13 |
$495.43 |
| 97110 |
|
285 |
28 |
$150.82 |
| 97112 |
|
121 |
13 |
$0.00 |
| 97116 |
|
243 |
24 |
$0.00 |