WHITE DRUG CO OF JAMESTOWN INC
NPI: 1124117734
· DICKINSON, ND 58601
· 291U00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
25 |
$0.00 |
| 2024 |
86 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
18 |
18 |
$0.00 |
| 90480 |
|
28 |
28 |
$0.00 |
| 90653 |
|
12 |
12 |
$0.00 |
| 91320 |
|
28 |
28 |
$0.00 |
| 0124A |
|
25 |
25 |
$0.00 |