Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › YALE › SDS PHARMACY INC

SDS PHARMACY INC

NPI: 1093823452 · YALE, MI 48097 · Community/Retail Pharmacy · NPI assigned 08/27/2006

$960.00
Total Medicaid Paid
32
Total Claims
32
Beneficiaries
2
Codes Billed
2020-05
First Month
2020-05
Last Month

Provider Details

Authorized OfficialSHELDON, SCOT (PRESIDENT)
NPI Enumeration Date08/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32 $960.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99605 16 16 $800.00
99607 16 16 $160.00