WAL-MART STORES EAST, LP
NPI: 1023191723
· GRENADA, MS 38901
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
470 |
$5K |
| 2019 |
397 |
$6K |
| 2020 |
253 |
$5K |
| 2021 |
296 |
$4K |
| 2022 |
88 |
$980.00 |
| 2023 |
80 |
$1K |
| 2024 |
29 |
$244.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,259 |
1,034 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
256 |
215 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
98 |
88 |
$1K |