NORTH CAROLINA CVS PHARMACY LLC
NPI: 1922101617
· KENANSVILLE, NC 28349
· Community/Retail Pharmacy
$651.59
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$133.00 |
| 2020 |
92 |
$518.59 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
36 |
36 |
$438.90 |
| 90686 |
|
45 |
23 |
$212.69 |
| 90471CG |
|
23 |
23 |
$0.00 |