DOVE MEDICAL SUPPLY RETAIL LLC
NPI: 1508336058
· CLEMMONS, NC 27012
· Durable Medical Equipment & Medical Supplies
· NPI assigned 11/27/2018
$200.82
Total Medicaid Paid
Provider Details
| Authorized Official | SPEASE, REBEKAH (COMPLIANCE OFFICER) |
| NPI Enumeration Date | 11/27/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
26 |
$200.82 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| K0003 |
Lightweight wheelchair |
13 |
12 |
$187.75 |
| E2601 |
General use wheelchair seat cushion, width less than 22 inches, any depth |
13 |
12 |
$13.07 |