DAKOTA PHARMACY OF BISMARCK INC
NPI: 1548202369
· BISMARCK, ND 58501
· 333600000X
$156.45
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$156.45 |
| 2024 |
107 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
13 |
13 |
$156.45 |
| G0008 |
Admin influenza virus vac |
38 |
38 |
$0.00 |
| 90656 |
|
27 |
27 |
$0.00 |
| 90480 |
|
25 |
25 |
$0.00 |
| 91322 |
|
17 |
17 |
$0.00 |