NORTH CAROLINA CVS PHARMACY LLC
NPI: 1437252103
· NEW BERN, NC 28562
· 332B00000X
$385.20
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$385.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
12 |
12 |
$225.60 |
| 90471 |
|
12 |
12 |
$159.60 |