HOLIDAY CVS LLC
NPI: 1902828544
· JACKSONVILLE BEACH, FL 32250
· Durable Medical Equipment & Medical Supplies
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
16 |
$0.00 |
| 2022 |
44 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
19 |
18 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
25 |
24 |
$0.00 |
| 0004A |
|
16 |
16 |
$0.00 |