WAL-MART STORES EAST LP
NPI: 1932126158
· PLYMOUTH, IN 46563
· Durable Medical Equipment & Medical Supplies
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
51 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0064A |
|
38 |
38 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |