KLINGENSMITH DRUG INC
NPI: 1659544237
· NEW BETHLEHEM, PA 16242
· Community/Retail Pharmacy
· NPI assigned 04/04/2008
$264.00
Total Medicaid Paid
Provider Details
| Authorized Official | DAVIS, JAMIE (3RD PARTY BILLING ADMIN) |
| NPI Enumeration Date | 04/04/2008 |
Related Entities
Other providers sharing the same authorized official: DAVIS, JAMIE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
27 |
$264.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90756 |
|
13 |
13 |
$132.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$132.00 |