WAL-MART STORES EAST LP
NPI: 1194742346
· JACKSONVILLE, NC 28546
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
80 |
$529.57 |
| 2021 |
128 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
37 |
37 |
$2K |
| 90471 |
|
52 |
27 |
$303.85 |
| 90686 |
|
28 |
15 |
$225.72 |
| 91301 |
|
62 |
61 |
$0.00 |
| 91300 |
|
29 |
28 |
$0.00 |