SPENCER DRUG LLC
NPI: 1316975923
· IRVINE, KY 40336
· Community/Retail Pharmacy
· NPI assigned 06/30/2006
$84.40
Total Medicaid Paid
Provider Details
| Authorized Official | SPENCER, JOHN (OWNER AND PIC) |
| NPI Enumeration Date | 06/30/2006 |
Related Entities
Other providers sharing the same authorized official: SPENCER, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
61 |
$84.40 |
| 2021 |
105 |
$0.00 |
| 2023 |
34 |
$0.00 |
| 2024 |
54 |
$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 |
61 |
54 |
$84.40 |
| 0011A |
|
48 |
47 |
$0.00 |
| 90480 |
|
27 |
27 |
$0.00 |
| 0012A |
|
57 |
56 |
$0.00 |
| 91322 |
|
48 |
48 |
$0.00 |
| 888888 |
|
13 |
13 |
$0.00 |