WHITE DRUG CO OF JAMESTOWN INC
NPI: 1881162972
· BISMARCK, ND 58503
· 291U00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
66 |
$709.95 |
| 2020 |
38 |
$275.40 |
| 2021 |
388 |
$2K |
| 2022 |
171 |
$197.04 |
| 2023 |
65 |
$428.61 |
| 2024 |
127 |
$547.28 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
63 |
63 |
$850.56 |
| 90471 |
|
115 |
114 |
$663.68 |
| 0001A |
|
54 |
40 |
$486.00 |
| 90686 |
|
98 |
73 |
$468.33 |
| 90656 |
|
57 |
57 |
$447.00 |
| 0002A |
|
47 |
33 |
$405.00 |
| 0003A |
|
23 |
23 |
$330.40 |
| 90688 |
|
28 |
14 |
$261.93 |
| 0124A |
|
70 |
69 |
$132.48 |
| 91300 |
|
107 |
56 |
$0.00 |
| 90685 |
|
17 |
16 |
$0.00 |
| G0008 |
Admin influenza virus vac |
176 |
176 |
$0.00 |