APPOMATTOX DRUG STORE
NPI: 1679622948
· APPOMATTOX, VA 24522
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/09/2007
$761.53
Total Medicaid Paid
Provider Details
| Authorized Official | MITCHELL, JAMIE (GENERAL MANAGER) |
| NPI Enumeration Date | 01/09/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
436 |
$675.29 |
| 2019 |
40 |
$86.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
359 |
218 |
$732.10 |
| A4259 |
Lancets, per box of 100 |
117 |
76 |
$29.43 |