NPI: 1881611283 · CLARKSVILLE, AR 72830 · 332B00000X
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $0.00 |
| 2019 | 13 | $0.00 |
| 2020 | 37 | $390.35 |
| 2021 | 688 | $0.00 |
| 2022 | 41 | $0.07 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4253 | Blood glucose/reagent strips | 22 | 13 | $390.35 |
| 91307 | 41 | 31 | $0.07 | |
| 0002A | 12 | 12 | $0.00 | |
| 91300 | 44 | 37 | $0.00 | |
| 0071A | 14 | 12 | $0.00 | |
| G0008 | Admin influenza virus vac | 55 | 55 | $0.00 |
| 0012A | 194 | 194 | $0.00 | |
| 91301 | 169 | 166 | $0.00 | |
| 0001A | 16 | 16 | $0.00 | |
| 0064A | 52 | 52 | $0.00 | |
| 0011A | 172 | 171 | $0.00 |