Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home
›
LA
›
SPRINGFIELD
› SPRINGFIELD DRUG STORE LLC
SPRINGFIELD DRUG STORE LLC
NPI: 1891898961 · SPRINGFIELD, LA 70462 ·
Pharmacy
· NPI assigned 09/06/2006
$0.00
Total Medicaid Paid
227
Total Claims
227
Beneficiaries
4
Codes Billed
2021-01
First Month
2021-12
Last Month
Provider Details
Authorized Official
CASANOVA, DAVID
(OWNER)
NPI Enumeration Date
09/06/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
227
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0011A
87
87
$0.00
0012A
87
87
$0.00
0064A
38
38
$0.00
0013A
15
15
$0.00