MANDEVILLE PHARMACY LLC
NPI: 1548616998
· MANDEVILLE, LA 70448
· 333600000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
129 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0013A |
|
32 |
32 |
$0.00 |
| 0012A |
|
44 |
43 |
$0.00 |
| 0011A |
|
53 |
53 |
$0.00 |