PRESCRIPTION PLACE OF DEFUNIAK SPRINGS INC
NPI: 1457370520
· DEFUNIAK SPRINGS, FL 32433
· 3336C0004X
$359.96
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$321.08 |
| 2021 |
82 |
$38.88 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
27 |
25 |
$206.85 |
| E0570 |
Nebulizer with compression |
12 |
12 |
$114.23 |
| 0012A |
|
30 |
27 |
$38.88 |
| 0031A |
|
15 |
14 |
$0.00 |
| 0011A |
|
18 |
16 |
$0.00 |
| 0013A |
|
19 |
15 |
$0.00 |