WAL-MART STORES EAST LP
NPI: 1992722029
· FAIRMONT, WV 26554
· 332B00000X
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
75 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
38 |
38 |
$0.00 |
| 0002A |
|
17 |
17 |
$0.00 |
| 0001A |
|
20 |
20 |
$0.00 |