Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TN › SPRINGFIELD › SOUTH SIDE DRUG CO INC

SOUTH SIDE DRUG CO INC

NPI: 1649312737 · SPRINGFIELD, TN 37172 · Community/Retail Pharmacy · NPI assigned 02/13/2007

$0.00
Total Medicaid Paid
82
Total Claims
82
Beneficiaries
4
Codes Billed
2019-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialSLOAN, DON (PHARMACIST)
NPI Enumeration Date02/13/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 18 $0.00
2020 18 $0.00
2021 14 $0.00
2023 32 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 20 20 $0.00
90630 18 18 $0.00
J3490 Unclassified drugs 32 32 $0.00
90686 12 12 $0.00