Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

DAKOTAMART INC

NPI: 1316013071 · BELLE FOURCHE, SD 57717 · Pharmacy · NPI assigned 11/27/2006

$0.00
Total Medicaid Paid
28
Total Claims
28
Beneficiaries
1
Codes Billed
2021-10
First Month
2021-10
Last Month

Provider Details

Authorized OfficialEISCHENS, JANEL (PHARMACIST IN CHARGE)
NPI Enumeration Date11/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 28 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 28 28 $0.00