KLINGENSMITH DRUG INC
NPI: 1164437018
· NUMINE, PA 16244
· Community/Retail Pharmacy
· NPI assigned 07/29/2006
$583.88
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, JAMIE (3RD PARTY BILLING ADMIN) |
| NPI Enumeration Date | 07/29/2006 |
Related Entities
Other providers sharing the same authorized official: DAVIS, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
13 |
$154.88 |
| 2022 |
28 |
$308.00 |
| 2023 |
13 |
$121.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| G0008 |
Administration of influenza virus vaccine |
27 |
27 |
$308.88 |
| 90756 |
|
14 |
14 |
$154.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$121.00 |