WAL-MART STORES EAST, LP
NPI: 1093898900
· LAS VEGAS, NM 87701
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
12 |
$279.82 |
| 2021 |
355 |
$6K |
| 2022 |
91 |
$2K |
| 2023 |
175 |
$7K |
| 2024 |
159 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
670 |
666 |
$24K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
52 |
52 |
$1K |
| V2100 |
Lens spher single plano 4.00 |
30 |
30 |
$847.78 |
| V2784 |
Lens polycarb or equal |
14 |
14 |
$0.00 |
| 92340 |
|
26 |
25 |
$0.00 |