WHITE DRUG CO OF JAMESTOWN INC
NPI: 1679663512
· MINOT, ND 58703
· 291U00000X
$840.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$0.00 |
| 2023 |
12 |
$840.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99605 |
|
12 |
12 |
$840.00 |
| 0124A |
|
12 |
12 |
$0.00 |