PRESCOTTS PHARMACY INC
NPI: 1801924162
· DUNN, NC 28334
· Pharmacy
· NPI assigned 03/01/2007
$179.85
Total Medicaid Paid
Provider Details
| Authorized Official | GODWIN, PRESCOTT (PHARMACIST/OWNER) |
| NPI Enumeration Date | 03/01/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
194 |
$179.85 |
| 2019 |
118 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90688 |
|
17 |
12 |
$179.85 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
295 |
286 |
$0.00 |