SUN PRAIRIE HOMETOWN PHARMACY LLC
NPI: 1316288152
· SUN PRAIRIE, WI 53590
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
343 |
$6K |
| 2022 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
65 |
61 |
$2K |
| 0002A |
|
64 |
60 |
$2K |
| 0072A |
|
20 |
20 |
$763.20 |
| 0071A |
|
18 |
18 |
$686.88 |
| 91300 |
|
154 |
143 |
$0.00 |
| 91307 |
|
35 |
35 |
$0.00 |