SOUTHERN HEALTH AND WELLNESS, INC
NPI: 1992221287
· MARKED TREE, AR 72365
· Community/Retail Pharmacy
· NPI assigned 08/17/2017
$320.00
Total Medicaid Paid
Provider Details
| Authorized Official | LOMAX, KYLE (PRESIDENT) |
| NPI Enumeration Date | 08/17/2017 |
Related Entities
Other providers sharing the same authorized official: LOMAX, KYLE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$320.00 |
| 2024 |
26 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
14 |
14 |
$160.00 |
| 0011A |
|
12 |
12 |
$160.00 |
| 91322 |
|
13 |
13 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |