WAL-MART STORES EAST LP
NPI: 1457378523
· SAINT CROIX FALLS, WI 54024
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
50 |
$0.00 |
| 2023 |
40 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90679 |
|
40 |
40 |
$0.00 |
| 90750 |
|
50 |
46 |
$0.00 |