LUMBERTON ELEMENTARY SCHOOL
NPI: 1922297795
· LUMBERTON, MS 39455
· Student Health Clinic/Center
· NPI assigned 10/17/2007
$190.92
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, TESS (SUPERINTENDENT) |
| NPI Enumeration Date | 10/17/2007 |
Related Entities
Other providers sharing the same authorized official: SMITH, TESS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$190.92 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
15 |
12 |
$103.32 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
12 |
$87.60 |
| 99173 |
|
15 |
12 |
$0.00 |