WAL-MART STORES LOUISIANA, LLC
NPI: 1053494930
· SULPHUR, LA 70663
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
179 |
$3K |
| 2022 |
188 |
$3K |
| 2023 |
509 |
$6K |
| 2024 |
640 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,071 |
864 |
$15K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
360 |
288 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
85 |
53 |
$1K |