THRIFTY DRUG STORES, INC.
NPI: 1801320197
· GRAND RAPIDS, MN 55744
· 291U00000X
$95.32
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
54 |
$95.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
13 |
13 |
$95.32 |
| G0008 |
Admin influenza virus vac |
15 |
15 |
$0.00 |
| 90480 |
|
13 |
13 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |