ODEDRA ENTERPRISES, INC.
NPI: 1174677827
· OROVILLE, CA 95966
· Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
· NPI assigned 01/22/2007
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | RIDDLE, BETTY (OFFICE MANAGER) |
| NPI Enumeration Date | 01/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
| 2020 |
19 |
$0.00 |
| 2023 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
31 |
31 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |