LETOURNEAU'S PHARMACY, INC.
NPI: 1265486682
· ANDOVER, MA 01810
· Pharmacy
· NPI assigned 05/20/2006
$35.57
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
77 |
$35.57 |
| 2024 |
46 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90694 |
|
30 |
30 |
$35.57 |
| 90662 |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$0.00 |
| M0201 |
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home |
14 |
14 |
$0.00 |
| 90480 |
|
12 |
12 |
$0.00 |