ARKANSAS CVS PHARMACY L.L.C.
NPI: 1659629152
· TEXARKANA, AR 71854
· Durable Medical Equipment & Medical Supplies
$599.01
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
94 |
$599.01 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
70 |
21 |
$598.93 |
| 91301 |
|
24 |
13 |
$0.08 |