Supplier
Dakota Pharmacy of Bismarck INC
Dakota Pharmacy of Bismarck INC was paid $156.45 by Medicaid between Oct 2023 and Oct 2024, across 5 billing codes. Its largest line is 90686, — 100% of everything it billed.
33Billing provider infoDAKOTA PHARMACY OF BISMARCK INC
BISMARCK, ND 58501
BISMARCK, ND 58501
33aNPI1548202369assigned 06/13/2006
33bProvider typePharmacy
28Total paid$156.45
24GClaims120
24DCodes billed5
24AFirst – last monthOct 2023 – Oct 2024
Compared with peers
Next to other Pharmacy providers in North Dakota
Rank by total paid#6 of 8
Median peer was paid$178.20
This provider vs. median0.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2023 | 13 | $156.45 | |
| 2024incomplete | 107 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 100% | 13 | 13 | $156.45 | |
| G0008 | Administration of influenza virus vaccine | 0% | 38 | 38 | $0.00 |
| 90656 | 0% | 27 | 27 | $0.00 | |
| 90480 | 0% | 25 | 25 | $0.00 | |
| 91322 | 0% | 17 | 17 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialOBERLANDER, KEVIN (OWNER)