NPI: 1669555223 · HARRISBURG, PA 17110 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/24/2006
| Authorized Official | SILBAUGH, DARRIN (PRES) |
| NPI Enumeration Date | 10/24/2006 |
Other providers sharing the same authorized official: SILBAUGH, DARRIN
| Provider | City | State | Total Paid |
|---|---|---|---|
| GDD PHARMACY SERVICES INC | MECHANICSBURG | PA | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 24 | $1K |
| 2021 | 13 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 13 | 12 | $2K |
| B4100 | Food thickener, administered orally, per ounce | 24 | 24 | $1K |