SULCO RX, LLC
NPI: 1790790392
· DUSHORE, PA 18614
· Pharmacy
· NPI assigned 07/30/2006
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
216 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4535 |
Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
139 |
138 |
$7K |
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
65 |
64 |
$5K |
| T4541 |
Incontinence product, disposable underpad, large, each |
12 |
12 |
$273.60 |