H STREET PHARMACY AND WELLNESS CENTER LLC
NPI: 1710200068
· WASHINGTON, DC 20002
· Specialty Pharmacy
· NPI assigned 03/01/2010
$9.96
Total Medicaid Paid
Provider Details
| Authorized Official | MUTEBA, KAPIAMBA (PHARMACIST/OWNER) |
| NPI Enumeration Date | 03/01/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
47 |
$9.96 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A4259 |
Lancets, per box of 100 |
14 |
12 |
$9.12 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
33 |
30 |
$0.84 |