WAL-MART STORES EAST LP
NPI: 1134146343
· CRESTVIEW, FL 32536
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
33 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
17 |
13 |
$0.00 |
| 0012A |
|
16 |
13 |
$0.00 |