NPI: 1073150116 · IRVINGTON, NJ 07111 · Pharmacy
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 37 | $0.00 |
| 2021 | 29 | $280.00 |
| 2022 | 132 | $1K |
| 2023 | 61 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 46 | 46 | $1K |
| 87635 | 80 | 27 | $1K | |
| 0003A | 29 | 29 | $280.00 | |
| G0008 | Administration of influenza virus vaccine | 19 | 19 | $0.00 |
| 90688 | 18 | 18 | $0.00 | |
| 0054A | 21 | 21 | $0.00 | |
| 0124A | 46 | 45 | $0.00 |