PROFESSIONAL PHARMACY LLC
NPI: 1043243272
· BISMARCK, ND 58503
· 333600000X
$145.92
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
74 |
$0.00 |
| 2024 |
299 |
$145.92 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91322 |
|
72 |
70 |
$145.92 |
| 90653 |
|
75 |
72 |
$0.00 |
| G0008 |
Admin influenza virus vac |
117 |
114 |
$0.00 |
| 90480 |
|
72 |
70 |
$0.00 |
| 90674 |
|
37 |
37 |
$0.00 |