ANDLEE
NPI: 1235242876
· PARIS, MO 65275
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/17/2006
$309.57
Total Medicaid Paid
Provider Details
| Authorized Official | DODGE, JASON (OWNER/PHARMACIST) |
| NPI Enumeration Date | 08/17/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$161.50 |
| 2019 |
25 |
$73.19 |
| 2020 |
12 |
$74.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
101 |
100 |
$309.57 |