WAL-MART STORES EAST LP
NPI: 1144548215
· RAEFORD, NC 28376
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
71 |
$429.60 |
| 2021 |
108 |
$975.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
27 |
27 |
$975.00 |
| 90686 |
|
34 |
15 |
$249.44 |
| 90471 |
|
37 |
15 |
$180.16 |
| 91300 |
|
34 |
32 |
$0.00 |
| 91301 |
|
47 |
45 |
$0.00 |