SHOPKO STORES OPERATING CO. LLC
NPI: 1457303455
· WATERTOWN, WI 53094
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
190 |
$6K |
| 2019 |
41 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
83 |
79 |
$3K |
| 92340 |
|
136 |
132 |
$3K |
| 92004 |
|
12 |
12 |
$501.49 |