WAL-MART STORES EAST, LP
NPI: 1013006923
· WEST COLUMBIA, SC 29169
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
12 |
$201.00 |
| 2023 |
13 |
$219.00 |
| 2024 |
97 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2100 |
Lens spher single plano 4.00 |
46 |
46 |
$1K |
| V2020 |
Vision svcs frames purchases |
76 |
76 |
$1K |