WAL-MART STORES LOUISIANA, LLC
NPI: 1013090950
· WEST MONROE, LA 71291
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
86 |
$1K |
| 2023 |
277 |
$6K |
| 2024 |
362 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
607 |
586 |
$13K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
56 |
55 |
$987.25 |
| V2100 |
Lens spher single plano 4.00 |
24 |
24 |
$475.00 |
| V2784 |
Lens polycarb or equal |
38 |
37 |
$399.78 |