Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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DANVILLE PHARMACY LLC

NPI: 1700524774 · DANVILLE, AR 72833 · Pharmacist · NPI assigned 05/20/2022

$0.00
Total Medicaid Paid
50
Total Claims
46
Beneficiaries
2
Codes Billed
2023-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialDICKERSON, CLAYTON (PHARMACIST)
NPI Enumeration Date05/20/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 14 $0.00
2024 36 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 36 33 $0.00
90653 14 13 $0.00