WAL-MART STORES EAST LP
NPI: 1720005093
· WINDHAM, ME 04062
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
47 |
$0.00 |
| 2021 |
279 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
28 |
28 |
$0.00 |
| 90662 |
|
12 |
12 |
$0.00 |
| 0064A |
|
83 |
83 |
$0.00 |
| 0011A |
|
82 |
82 |
$0.00 |
| G0008 |
Admin influenza virus vac |
35 |
35 |
$0.00 |
| 0012A |
|
86 |
86 |
$0.00 |