ARKANSAS CVS PHARMACY, L.L.C.
NPI: 1225443104
· VAN BUREN, AR 72956
· 332B00000X
$826.89
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
69 |
$826.89 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
50 |
19 |
$598.93 |
| 0012A |
|
19 |
14 |
$227.96 |