WAL-MART STORES EAST LP
NPI: 1134584311
· RUSTON, LA 71270
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
102 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
39 |
39 |
$0.00 |
| 0011A |
|
35 |
33 |
$0.00 |
| 0012A |
|
28 |
28 |
$0.00 |