MELVINS DISCOUNT PHARMACY INC
NPI: 1497897995
· EL DORADO, AR 71730
· 333600000X
$640.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
324 |
$640.00 |
| 2023 |
24 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
174 |
170 |
$320.00 |
| 0012A |
|
137 |
137 |
$320.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 0013A |
|
13 |
13 |
$0.00 |