DON QUIJOTE (USA) CO., LTD.
NPI: 1821123951
· HONOLULU, HI 96814
· Community/Retail Pharmacy
· NPI assigned 02/22/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$2K |
| 2021 |
71 |
$0.00 |
| 2022 |
90 |
$903.32 |
| 2023 |
12 |
$236.72 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 90750 |
|
12 |
12 |
$2K |
| 90686 |
|
63 |
59 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24 |
24 |
$288.88 |
| 0013A |
|
51 |
51 |
$0.00 |
| 0004A |
|
33 |
33 |
$0.00 |
| 0054A |
|
14 |
14 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |