Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN DIEGO › SD HEALTHCARE RX NC

SD HEALTHCARE RX NC

NPI: 1053490797 · SAN DIEGO, CA 92123 · Community/Retail Pharmacy · NPI assigned 11/03/2006

$29K
Total Medicaid Paid
500
Total Claims
488
Beneficiaries
1
Codes Billed
2018-02
First Month
2020-12
Last Month

Provider Details

Authorized OfficialPATEL, PARESH (CFO/DIRECTOR)
NPI Enumeration Date11/03/2006

Related Entities

Other providers sharing the same authorized official: PATEL, PARESH

ProviderCityStateTotal Paid
HEALTHY SMILES DENTAL ASSOCIATES, LLC METUCHEN NJ $45K
MANISHA DESAI PATEL DDS LENOIR NC $14K
PARESH PATEL, M.D., INC WHITTIER CA $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 162 $11K
2019 89 $5K
2020 249 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4215 Needle, sterile, any size, each 500 488 $29K