MADDI GIRL LLC
NPI: 1790257160
· DELHI, LA 71232
· Community/Retail Pharmacy
· NPI assigned 12/26/2018
$0.00
Total Medicaid Paid
Provider Details
| Authorized Official | LANDRY, IVAN (OWNER/MANAGER) |
| NPI Enumeration Date | 12/26/2018 |
Related Entities
Other providers sharing the same authorized official: LANDRY, IVAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
78 |
$0.00 |
| 2020 |
36 |
$0.00 |
| 2021 |
309 |
$0.00 |
| 2022 |
56 |
$0.00 |
| 2023 |
70 |
$0.00 |
| 2024 |
100 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0134A |
|
16 |
16 |
$0.00 |
| 90686 |
|
113 |
112 |
$0.00 |
| 0011A |
|
83 |
83 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
173 |
172 |
$0.00 |
| 90688 |
|
38 |
38 |
$0.00 |
| 0012A |
|
80 |
80 |
$0.00 |
| 0013A |
|
146 |
146 |
$0.00 |