WAL-MART STORES EAST LP
NPI: 1184641409
· LEBANON, KY 40033
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
26 |
$0.00 |
| 2021 |
36 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
13 |
13 |
$0.00 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 0011A |
|
17 |
17 |
$0.00 |
| 0012A |
|
19 |
19 |
$0.00 |