MORELAND PLAZA PHARMACY, INC
NPI: 1619071628
· WAUKESHA, WI 53188
· 3336C0003X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
153 |
$2K |
| 2022 |
44 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0071A |
|
70 |
28 |
$1K |
| 90688 |
|
32 |
28 |
$952.48 |
| 0072A |
|
46 |
23 |
$877.68 |
| 0003A |
|
37 |
17 |
$572.40 |
| 0124A |
|
12 |
12 |
$381.60 |