NORTH CAROLINA CVS PHARMACY LLC
NPI: 1790888550
· STATESVILLE, NC 28677
· 332B00000X
$558.68
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
24 |
$372.48 |
| 2020 |
15 |
$186.20 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
27 |
25 |
$345.80 |
| 90686 |
|
12 |
12 |
$212.88 |