WAL-MART STORES EAST LP
NPI: 1558388827
· SANFORD, ME 04073
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
208 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
18 |
18 |
$0.00 |
| 0011A |
|
64 |
64 |
$0.00 |
| 0064A |
|
59 |
59 |
$0.00 |
| 0012A |
|
67 |
67 |
$0.00 |