WAL-MART STORES EAST LP
NPI: 1144247313
· THOMASVILLE, NC 27360
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
49 |
$533.63 |
| 2021 |
113 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0012A |
|
33 |
32 |
$2K |
| 90686 |
|
23 |
17 |
$307.53 |
| 90471 |
|
26 |
17 |
$226.10 |
| 91300 |
|
47 |
41 |
$0.00 |
| 91301 |
|
33 |
32 |
$0.00 |