SOUTHEAST ARKANSAS PHARMACIES LLC
NPI: 1790116523
· MONTICELLO, AR 71655
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
13 |
$0.00 |
| 2021 |
609 |
$7K |
| 2022 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
172 |
170 |
$3K |
| 0001A |
|
129 |
113 |
$2K |
| 0011A |
|
152 |
150 |
$1K |
| 0002A |
|
73 |
67 |
$810.00 |
| G0008 |
Admin influenza virus vac |
27 |
27 |
$0.00 |
| 0013A |
|
83 |
83 |
$0.00 |