CVS STATE CAPITAL, L.L.C.
NPI: 1689807174
· BIDDEFORD, ME 04005
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$0.00 |
| 2020 |
16 |
$0.00 |
| 2021 |
47 |
$0.00 |
| 2022 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
47 |
47 |
$0.00 |
| G0008 |
Admin influenza virus vac |
29 |
29 |
$0.00 |
| K1034 |
Covid test self-admn/collect |
17 |
15 |
$0.00 |