BROOKSHIRE GROCERY COMPANY
NPI: 1770656241
· BOSSIER CITY, LA 71112
· 333600000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
104 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
50 |
50 |
$0.00 |
| 0011A |
|
54 |
54 |
$0.00 |