Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› TERRACE APOTHECARY INC
TERRACE APOTHECARY INC
NPI: 1548249717 · HAWORTH, NJ 07641 ·
Community/Retail Pharmacy
· NPI assigned 01/16/2006
$0.00
Total Medicaid Paid
100
Total Claims
100
Beneficiaries
3
Codes Billed
2023-11
First Month
2024-11
Last Month
Provider Details
Authorized Official
WALLER, WESTLEY
(PRESIDENT)
NPI Enumeration Date
01/16/2006
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2023
30
$0.00
2024
70
$0.00
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
91320
24
24
$0.00
G0008
Administration of influenza virus vaccine
34
34
$0.00
90480
42
42
$0.00