HANNAFORD BROS CO LLC
NPI: 1639287022
· OXFORD, ME 04270
· Durable Medical Equipment & Medical Supplies
$455.99
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
80 |
$261.28 |
| 2019 |
64 |
$129.81 |
| 2020 |
45 |
$64.90 |
| 2021 |
45 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
82 |
74 |
$455.99 |
| 0011A |
|
22 |
22 |
$0.00 |
| 0012A |
|
23 |
23 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
107 |
107 |
$0.00 |