WHITE DRUG CO OF JAMESTOWN INC
NPI: 1396834909
· DEVILS LAKE, ND 58301
· 332B00000X
$297.50
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
42 |
$297.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91320 |
|
21 |
21 |
$262.36 |
| 90480 |
|
21 |
21 |
$35.14 |