MONAHANS PHARMACY INC
NPI: 1659486504
· MONAHANS, TX 79756
· Oxygen Equipment & Supplies (DME)
$33.27
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
13 |
$33.27 |
| 2021 |
12 |
$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 |
13 |
12 |
$33.27 |
| 0012A |
|
12 |
12 |
$0.00 |