SAMS WEST INC
NPI: 1689685109
· BENTONVILLE, AR 72712
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/10/2006
$280.14
Total Medicaid Paid
Provider Details
| Authorized Official | LEVINE, LAURA (MGR OF GOVERNMENT CONTRACTING) |
| NPI Enumeration Date | 08/10/2006 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
45 |
$0.00 |
| 2022 |
47 |
$280.14 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0071A |
|
19 |
12 |
$280.00 |
| 91307 |
|
28 |
17 |
$0.14 |
| 0001A |
|
17 |
17 |
$0.00 |
| 91300 |
|
28 |
21 |
$0.00 |