LONGS DRUG STORES CALIFORNIA LLC
NPI: 1215174693
· KAPOLEI, HI 96707
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$660.16 |
| 2019 |
26 |
$113.04 |
| 2020 |
24 |
$138.16 |
| 2021 |
116 |
$2K |
| 2022 |
28 |
$418.80 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
137 |
130 |
$1K |
| 90686 |
|
66 |
63 |
$1K |
| 0064A |
|
13 |
13 |
$524.16 |
| 0012A |
|
12 |
12 |
$524.16 |
| S9430 |
Pharmacy comp/disp serv |
28 |
28 |
$0.00 |