NEW MO-TOWN PHARMACY INC
NPI: 1376583021
· DETROIT, MI 48234
· Community/Retail Pharmacy
· NPI assigned 06/08/2006
Provider Details
| Authorized Official | SALEM, SAMMY (PRESIDENT) |
| NPI Enumeration Date | 06/08/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
981 |
$28K |
| 2019 |
822 |
$30K |
| 2020 |
143 |
$4K |
| 2022 |
33 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99605 |
|
761 |
760 |
$38K |
| 99606 |
|
758 |
756 |
$19K |
| 99607 |
|
406 |
406 |
$7K |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
42 |
38 |
$220.19 |
| Q0513 |
Pharmacy dispensing fee for inhalation drug(s); per 30 days |
12 |
12 |
$79.20 |