WAL-MART STORES EAST, LP
NPI: 1063595684
· MONACA, PA 15061
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
104 |
$3K |
| 2021 |
555 |
$12K |
| 2022 |
317 |
$7K |
| 2023 |
17 |
$220.32 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
796 |
658 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
130 |
105 |
$7K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
67 |
60 |
$3K |