Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AR › BENTON › SMITH CALDWELL DRUG

SMITH CALDWELL DRUG

NPI: 1770676918 · BENTON, AR 72015 · 333600000X

$15K
Total Medicaid Paid
533
Total Claims
518
Beneficiaries
11
Codes Billed
2018-10
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 50 $367.36
2021 483 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 116 115 $5K
0001A 138 130 $4K
0071A 27 26 $2K
0072A 13 13 $1K
90656 50 48 $367.36
90674 35 32 $367.04
0012A 39 39 $360.00
0064A 41 41 $320.00
0011A 42 42 $233.88
0004A 17 17 $80.00
G0008 Admin influenza virus vac 15 15 $0.00