MOUNTAIN GROVE PHARMACY INC
NPI: 1285645820
· MOUNTAIN GROVE, MO 65711
· Pharmacy
· NPI assigned 08/10/2006
Provider Details
Related Entities
Other providers sharing the same authorized official: COFFMAN, CHRISTINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
49 |
$256.30 |
| 2024 |
421 |
$24K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99605 |
|
328 |
299 |
$21K |
| 99606 |
|
93 |
79 |
$3K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
49 |
48 |
$256.30 |