LONGS DRUG STORES CALIFORNIA LLC
NPI: 1972749414
· MAKAWAO, HI 96768
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$0.00 |
| 2020 |
46 |
$407.84 |
| 2021 |
68 |
$2K |
| 2022 |
57 |
$1K |
| 2023 |
14 |
$175.84 |
| 2024 |
45 |
$906.85 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
44 |
44 |
$2K |
| 90471 |
|
124 |
123 |
$1K |
| 90480 |
|
14 |
14 |
$567.84 |
| 0011A |
|
12 |
12 |
$524.16 |
| 90656 |
|
19 |
19 |
$200.85 |
| 90686 |
|
17 |
17 |
$156.64 |
| S9430 |
Pharmacy comp/disp serv |
15 |
12 |
$0.00 |