KB PHARMACY PLLC
NPI: 1740228774
· GRAFTON, ND 58237
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/03/2006
$158.13
Total Medicaid Paid
Provider Details
| Authorized Official | WHARAM, BETH (CO-OWNER) |
| NPI Enumeration Date | 06/03/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
40 |
$158.13 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
13 |
$158.13 |
| 90686 |
|
13 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
13 |
13 |
$0.00 |