LP SW JACKSONVILLE, LLC
NPI: 1588162762
· MIDDLEBURG, FL 32068
· 314000000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
20 |
13 |
$0.00 |
| 90674 |
|
20 |
13 |
$0.00 |