DOCTORS PARK PHARMACY INC
NPI: 1205901881
· JACKSONVILLE, NC 28546
· 333600000X
$756.52
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$41.52 |
| 2021 |
29 |
$715.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
14 |
12 |
$715.00 |
| A7015 |
Aerosol mask used w nebulize |
12 |
12 |
$21.96 |
| A7010 |
Disposable corrugated tubing |
12 |
12 |
$19.56 |
| 91303 |
|
15 |
13 |
$0.00 |