BELLA VIDA PHARMACY INC
NPI: 1467650713
· TORRANCE, CA 90502
· 333600000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
763 |
$4K |
| 2019 |
690 |
$4K |
| 2020 |
728 |
$7K |
| 2021 |
427 |
$3K |
| 2022 |
294 |
$1K |
| 2023 |
155 |
$115.56 |
| 2024 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| Q0511 |
Sup fee antiem,antica,immuno |
920 |
858 |
$7K |
| J7507 |
Tacrolimus imme rel oral 1mg |
404 |
223 |
$7K |
| Q0512 |
Px sup fee anti-can sub pres |
844 |
493 |
$3K |
| J7512 |
Prednisone ir or dr oral 1mg |
849 |
791 |
$2K |
| J7517 |
Mycophenolate mofetil oral |
14 |
12 |
$329.97 |
| 90480 |
|
13 |
13 |
$0.00 |
| 91322 |
|
13 |
13 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |