Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HARRIS TEETER LLC

NPI: 1629416557 · GOLDSBORO, NC 27534 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/13/2013

$430.00
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2021-08
First Month
2021-08
Last Month

Provider Details

Authorized OfficialNOBLITT, MARY (LICENSE ADMINISTRATOR)
NPI Enumeration Date06/13/2013

Related Entities

Other providers sharing the same authorized official: NOBLITT, MARY

ProviderCityStateTotal Paid
HARRIS TEETER LLC WASHINGTON DC $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $430.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 14 14 $430.00