WAL-MART STORES EAST, LP
NPI: 1063593176
· ONALASKA, WI 54650
· Optician
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
45 |
$722.00 |
| 2019 |
116 |
$2K |
| 2020 |
59 |
$914.00 |
| 2021 |
111 |
$2K |
| 2022 |
154 |
$3K |
| 2023 |
168 |
$3K |
| 2024 |
126 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
716 |
709 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
63 |
63 |
$2K |