NPI: 1710998208 · BRAWLEY, CA 92227 · Pharmacy · NPI assigned 08/10/2006
| Authorized Official | VITHALANI, DHAVAL (DAN) (PRESIDENT) |
| NPI Enumeration Date | 08/10/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 244 | $13K |
| 2019 | 378 | $21K |
| 2020 | 361 | $21K |
| 2021 | 204 | $11K |
| 2022 | 124 | $610.32 |
| 2023 | 133 | $0.00 |
| 2024 | 651 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T4541 | Incontinence product, disposable underpad, large, each | 1,001 | 1,001 | $51K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 198 | 198 | $15K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 482 | 472 | $2K |
| A4259 | Lancets, per box of 100 | 187 | 186 | $54.93 |
| 90480 | 42 | 42 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 53 | 53 | $0.00 |
| 90694 | 23 | 23 | $0.00 | |
| 90653 | 23 | 23 | $0.00 | |
| 91320 | 41 | 41 | $0.00 | |
| 90662 | 45 | 45 | $0.00 |