WAL-MART STORES EAST LP
NPI: 1538186861
· MOUNT STERLING, KY 40353
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
71 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
17 |
17 |
$0.00 |
| 0011A |
|
21 |
21 |
$0.00 |
| 0064A |
|
33 |
33 |
$0.00 |