KLINGENSMITH DRUG INC
NPI: 1619944386
· FORD CITY, PA 16226
· Community/Retail Pharmacy
· NPI assigned 03/02/2006
$847.00
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, JAMIE (3RD PARTY BILLING ADMINISTRATOR) |
| NPI Enumeration Date | 03/02/2006 |
Related Entities
Other providers sharing the same authorized official: DAVIS, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
35 |
$308.00 |
| 2022 |
39 |
$363.00 |
| 2023 |
19 |
$176.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Administration of influenza virus vaccine |
44 |
44 |
$385.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
19 |
$176.00 |
| 90674 |
|
17 |
17 |
$154.00 |
| 90756 |
|
13 |
13 |
$132.00 |