Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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D & D PHARMACY LLC

NPI: 1477908135 · LITTLE ROCK, AR 72205 · Community/Retail Pharmacy · NPI assigned 05/02/2016

$535.59
Total Medicaid Paid
74
Total Claims
59
Beneficiaries
3
Codes Billed
2021-01
First Month
2021-10
Last Month

Provider Details

Authorized OfficialREID, ASHLE (CONSULTANT)
NPI Enumeration Date05/02/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 74 $535.59

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0004A 25 16 $280.00
0011A 30 30 $255.52
91300 19 13 $0.07