WOODHAVEN MEDICAL CENTER PHARMACY INC
NPI: 1174610877
· DEARBORN, MI 48126
· Durable Medical Equipment & Medical Supplies
· NPI assigned 10/06/2006
$211.09
Total Medicaid Paid
Provider Details
| Authorized Official | NASSER, ALI (OWNER) |
| NPI Enumeration Date | 10/06/2006 |
Related Entities
Other providers sharing the same authorized official: NASSER, ALI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
38 |
$91.39 |
| 2020 |
12 |
$26.60 |
| 2021 |
31 |
$93.10 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
81 |
80 |
$211.09 |