NPI: 1003201328 · SANTA ANA, CA 92701 · Long Term Care Pharmacy · NPI assigned 04/02/2015
| Authorized Official | DANG, JOHN (PHARMACY MANAGER) |
| NPI Enumeration Date | 04/02/2015 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 177 | $12K |
| 2023 | 132 | $9K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 271 | 265 | $17K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 26 | 25 | $2K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | 12 | 12 | $1K |