MATT'S COASTAL PHARMACY LLC
NPI: 1811409014
· MIDDLETOWN, RI 02842
· 261Q00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
33 |
$1K |
| 2022 |
127 |
$0.00 |
| 2023 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
17 |
17 |
$711.96 |
| 0011A |
|
16 |
16 |
$666.08 |
| G0008 |
Admin influenza virus vac |
44 |
44 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 0124A |
|
41 |
41 |
$0.00 |
| 0003A |
|
31 |
31 |
$0.00 |
| 0004A |
|
12 |
12 |
$0.00 |