LONGS DRUG STORES CALIFORNIA LLC
NPI: 1881856367
· PAHALA, HI 96777
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
27 |
$451.03 |
| 2020 |
16 |
$0.00 |
| 2021 |
120 |
$3K |
| 2022 |
21 |
$736.44 |
| 2023 |
25 |
$463.12 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
33 |
32 |
$1K |
| 0011A |
|
31 |
31 |
$1K |
| 0012A |
|
31 |
31 |
$1K |
| 90471 |
|
61 |
58 |
$664.00 |
| 90674 |
|
24 |
24 |
$647.51 |
| 90686 |
|
13 |
12 |
$247.94 |
| S9430 |
Pharmacy comp/disp serv |
16 |
12 |
$0.00 |