ROYAL PLAZA DRUG LLC
NPI: 1700375292
· FORT LEE, NJ 07024
· Durable Medical Equipment & Medical Supplies
· NPI assigned 05/09/2018
$40.00
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, JUNGJIK (PRESIDENT) |
| NPI Enumeration Date | 05/09/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
27 |
$40.00 |
| 2022 |
64 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0003A |
|
27 |
27 |
$40.00 |
| 0054A |
|
22 |
22 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
15 |
15 |
$0.00 |
| 90694 |
|
13 |
13 |
$0.00 |