VILLAGE SUPER MARKET OF NJ LP
NPI: 1295840072
· RIO GRANDE, NJ 08242
· 3336C0003X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
26 |
$0.00 |
| 2023 |
29 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
17 |
17 |
$0.00 |
| 0011A |
|
12 |
12 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |
| 0064A |
|
14 |
14 |
$0.00 |