LONGS DRUG STORES CALIFORNIA LLC
NPI: 1104214543
· KAILUA, HI 96734
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$0.00 |
| 2020 |
68 |
$727.70 |
| 2021 |
18 |
$742.56 |
| 2022 |
12 |
$519.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
30 |
30 |
$1K |
| 90686 |
|
28 |
28 |
$372.02 |
| 90471 |
|
40 |
38 |
$355.68 |
| S9430 |
Pharmacy comp/disp serv |
15 |
12 |
$0.00 |