CENTRAL CITY CLINIC PHARMACY INC
NPI: 1679660823
· CENTRAL CITY, KY 42330
· Clinic Pharmacy
· NPI assigned 10/09/2006
$24.53
Total Medicaid Paid
Provider Details
| Authorized Official | FOGLE, SHANE (PIC) |
| NPI Enumeration Date | 10/09/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14 |
$24.53 |
| 2021 |
13 |
$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 |
14 |
13 |
$24.53 |
| 0031A |
|
13 |
12 |
$0.00 |