Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › FORT SMITH › PRINCE DRUG STORE INC

PRINCE DRUG STORE INC

NPI: 1417039298 · FORT SMITH, AR 72901 · Pharmacy · NPI assigned 10/20/2006

$13K
Total Medicaid Paid
662
Total Claims
629
Beneficiaries
8
Codes Billed
2021-02
First Month
2022-01
Last Month

Provider Details

Authorized OfficialLUNSFORD, DANIEL (AUTHORIZED REP PHCST)
NPI Enumeration Date10/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 595 $11K
2022 67 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0071A 43 43 $4K
0072A 39 39 $4K
0001A 144 141 $3K
0002A 132 129 $2K
0004A 12 12 $480.00
91300 187 167 $1.45
91307 93 86 $0.90
0003A 12 12 $0.00