WAL-MART STORES EAST LP
NPI: 1285651331
· BARABOO, WI 53913
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
16 |
$0.00 |
| 2023 |
13 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90750 |
|
16 |
14 |
$0.00 |
| 90679 |
|
13 |
13 |
$0.00 |