SHOPKO STORES OPERATING CO. LLC
NPI: 1003869678
· LEWISTON, ID 83501
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
40 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
12 |
12 |
$952.70 |
| 92340 |
|
28 |
24 |
$566.88 |