KANSAS CVS PHARMACY, L.L.C.
NPI: 1609970557
· MISSION, KS 66202
· 3336C0003X
$46.51
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
439 |
$46.51 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0001A |
|
243 |
238 |
$46.51 |
| 0002A |
|
196 |
195 |
$0.00 |