WAL-MART STORES EAST LP
NPI: 1700289444
· PINEVILLE, LA 71360
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
12 |
$0.00 |
| 2021 |
20 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0008 |
Admin influenza virus vac |
12 |
12 |
$0.00 |
| 0031A |
|
20 |
20 |
$0.00 |