WAL-MART STORES EAST LP
NPI: 1215948732
· DAYTONA BEACH, FL 32117
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
59 |
$0.00 |
| 2021 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90732 |
|
17 |
16 |
$0.00 |
| 0012A |
|
13 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
23 |
22 |
$0.00 |
| 90686 |
|
19 |
18 |
$0.00 |