WAL-MART STORES EAST LP
NPI: 1215954474
· SANFORD, NC 27330
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
472 |
$0.00 |
| 2022 |
20 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 91300 |
|
141 |
102 |
$0.00 |
| 0002A |
|
50 |
41 |
$0.00 |
| 0001A |
|
52 |
43 |
$0.00 |
| 91301 |
|
107 |
62 |
$0.00 |
| 0012A |
|
105 |
61 |
$0.00 |
| 91307 |
|
37 |
28 |
$0.00 |