FROEDTERT HEALTH PHARMACY LLC
NPI: 1144878075
· MENOMONEE FALLS, WI 53051
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
21 |
$422.68 |
| 2021 |
55 |
$1K |
| 2022 |
54 |
$1K |
| 2023 |
28 |
$658.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
39 |
39 |
$1K |
| 90656 |
|
52 |
52 |
$1K |
| 90686 |
|
28 |
28 |
$658.85 |
| 91301 |
|
39 |
39 |
$0.00 |