NORTH CAROLINA CVS PHARMACY LLC
NPI: 1013930395
· GARNER, NC 27529
· 3336C0003X
$532.36
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
58 |
$532.36 |
| 2021 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
37 |
37 |
$399.00 |
| 90686 |
|
21 |
15 |
$133.36 |
| 91300 |
|
17 |
13 |
$0.00 |