FARMACIA SAN ANTONIO LLC
NPI: 1164508503
· VILLALBA, PR 00766
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
299 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
141 |
141 |
$6K |
| 0011A |
|
146 |
146 |
$4K |
| 0031A |
|
12 |
12 |
$240.00 |