FAMILY PHARMACY OF MOUNTAIN GROVE LLC
NPI: 1851426852
· MOUNTAIN GROVE, MO 65711
· Durable Medical Equipment & Medical Supplies
· NPI assigned 02/22/2007
$516.66
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: COFFMAN, CHRISTINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
67 |
$481.70 |
| 2019 |
12 |
$34.96 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
79 |
77 |
$516.66 |