OREGON CVS PHARMACY LLC
NPI: 1194834481
· CLACKAMAS, OR 97015
· 332B00000X
$40.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
80 |
$40.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0013A |
|
36 |
32 |
$40.00 |
| 0001A |
|
15 |
13 |
$0.00 |
| 0003A |
|
29 |
27 |
$0.00 |