SUMMIT PHARMACY OF IOWA, INC
NPI: 1154941870
· FAIRFIELD, IA 52556
· 3336C0003X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
79 |
$2K |
| 2022 |
41 |
$55.99 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
52 |
46 |
$1K |
| 0012A |
|
27 |
25 |
$761.00 |
| 90471 |
|
41 |
32 |
$55.99 |