DREAM PHARMACY LLC
NPI: 1992150882
· PHILADELPHIA, PA 19115
· Pharmacy
· NPI assigned 04/27/2016
$33.00
Total Medicaid Paid
Provider Details
| Authorized Official | MILENKI, ANDREI (DIRECTOR) |
| NPI Enumeration Date | 04/27/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
35 |
$23.02 |
| 2023 |
43 |
$9.98 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
63 |
57 |
$31.60 |
| A4259 |
Lancets, per box of 100 |
15 |
13 |
$1.40 |