SUPER FARMACIA LIZETTE, INC
NPI: 1679506125
· JAYUYA, PR 00664
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
160 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90670 |
|
15 |
15 |
$2K |
| 90686 |
|
65 |
65 |
$1K |
| G0008 |
Admin influenza virus vac |
65 |
65 |
$0.00 |
| G0009 |
Admin pneumococcal vaccine |
15 |
15 |
$0.00 |