SP CARE LLC
NPI: 1922401256
· ST. GEORGE, UT 84790
· Specialty Pharmacy
· NPI assigned 10/01/2014
$133.08
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, KENNETH (MEMBER) |
| NPI Enumeration Date | 10/01/2014 |
Related Entities
Other providers sharing the same authorized official: JONES, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2022 |
38 |
$133.08 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90688 |
|
19 |
19 |
$133.08 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |