PRESCRIPTION PLACE OF DEFUNIAK SPRINGS INC
NPI: 1457370520
· DEFUNIAK SPRINGS, FL 32433
· Compounding Pharmacy
· NPI assigned 07/19/2006
$359.96
Total Medicaid Paid
Provider Details
| Authorized Official | ABBOTT, SHANE (PHARMACIST) |
| NPI Enumeration Date | 07/19/2006 |
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 test or reagent strips for home blood glucose monitor, per 50 strips |
27 |
25 |
$206.85 |
| E0570 |
Nebulizer, with compressor |
12 |
12 |
$114.23 |
| 0012A |
|
30 |
27 |
$38.88 |
| 0031A |
|
15 |
14 |
$0.00 |
| 0011A |
|
18 |
16 |
$0.00 |
| 0013A |
|
19 |
15 |
$0.00 |