WAL-MART STORES EAST LP
NPI: 1467851881
· WINTERVILLE, NC 28590
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
27 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 91300 |
|
13 |
12 |
$0.00 |
| 91307 |
|
14 |
12 |
$0.00 |