NEW JERSEY CVS PHARMACY LLC
NPI: 1861584468
· EAST ORANGE, NJ 07018
· 3336C0003X
$40.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
34 |
$40.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
17 |
17 |
$40.00 |
| 0011A |
|
17 |
17 |
$0.00 |