MANSFIELD DRUG INC
NPI: 1215034053
· MANSFIELD, LA 71052
· Long Term Care Pharmacy
· NPI assigned 09/20/2006
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | DUCOTE, HELEN (SECRETARY/OWNER) |
| NPI Enumeration Date | 09/20/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2019 |
42 |
$0.00 |
| 2020 |
12 |
$0.00 |
| 2021 |
230 |
$0.00 |
| 2022 |
25 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0013A |
|
79 |
79 |
$0.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
67 |
66 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |
| 90694 |
|
12 |
12 |
$0.00 |
| 0011A |
|
76 |
76 |
$0.00 |
| 0012A |
|
75 |
75 |
$0.00 |