WAL-MART STORES EAST LP
NPI: 1578742037
· JACKSONVILLE, NC 28540
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
146 |
$2K |
| 2022 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
35 |
33 |
$2K |
| 0001A |
|
12 |
12 |
$130.00 |
| 91301 |
|
49 |
47 |
$0.00 |
| 91300 |
|
62 |
59 |
$0.00 |