EASTSIDE PHARMACY SERVICES LLC
NPI: 1902357130
· STATESVILLE, NC 28625
· 3336C0003X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
30 |
$845.00 |
| 2022 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0124A |
|
19 |
19 |
$1K |
| 0064A |
|
15 |
14 |
$845.00 |
| 91306 |
|
15 |
14 |
$0.00 |
| 91312 |
|
19 |
19 |
$0.00 |