LEXINGTON DISCOUNT DRUGS, LLC
NPI: 1295816791
· LEXINGTON, TN 38351
· Community/Retail Pharmacy
· NPI assigned 10/18/2006
$160.64
Total Medicaid Paid
Provider Details
| Authorized Official | PACE, VIRGINIA (OWNER/MANAGING EMPLOYEE) |
| NPI Enumeration Date | 10/18/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
115 |
$125.29 |
| 2019 |
87 |
$35.35 |
| 2022 |
25 |
$0.00 |
| 2023 |
14 |
$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 |
160 |
158 |
$160.64 |
| 90662 |
|
14 |
12 |
$0.00 |
| 90630 |
|
17 |
15 |
$0.00 |
| 90688 |
|
25 |
19 |
$0.00 |
| J3490 |
Unclassified drugs |
25 |
17 |
$0.00 |