WAL-MART STORES EAST LP
NPI: 1407190036
· LECANTO, FL 34461
· 3336C0003X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
75 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0011A |
|
30 |
30 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 0012A |
|
33 |
33 |
$0.00 |