JAI SIDDHI VINAYAK INC.
NPI: 1407188451
· WINSTON SALEM, NC 27101
· Community/Retail Pharmacy
· NPI assigned 02/02/2010
Provider Details
| Authorized Official | MODI, SHRADDHA (PRESIDENT) |
| NPI Enumeration Date | 02/02/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
99 |
$385.70 |
| 2019 |
121 |
$1K |
| 2020 |
103 |
$2K |
| 2021 |
241 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0031A |
|
95 |
76 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
175 |
142 |
$2K |
| A4670 |
Automatic blood pressure monitor |
31 |
31 |
$2K |
| 90686 |
|
97 |
76 |
$685.16 |
| T4521 |
Adult sized disposable incontinence product, brief/diaper, small, each |
12 |
12 |
$664.17 |
| 90688 |
|
21 |
16 |
$280.16 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
39 |
39 |
$0.00 |
| 91303 |
|
94 |
77 |
$0.00 |