WAL-MART STORES EAST LP
NPI: 1811914138
· CAMPBELLSVILLE, KY 42718
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
65 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
26 |
25 |
$0.00 |
| 0064A |
|
12 |
12 |
$0.00 |
| 0011A |
|
27 |
26 |
$0.00 |