WAL-MART STORES EAST LP
NPI: 1275550592
· BARDSTOWN, KY 40004
· 333600000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
69 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
35 |
35 |
$0.00 |
| 0012A |
|
19 |
19 |
$0.00 |
| 0064A |
|
15 |
15 |
$0.00 |