WAL-MART STORES LOUISIANA, LLC
NPI: 1093898959
· ZACHARY, LA 70791
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
63 |
$1K |
| 2020 |
130 |
$2K |
| 2021 |
318 |
$4K |
| 2022 |
605 |
$12K |
| 2023 |
694 |
$13K |
| 2024 |
442 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,528 |
1,376 |
$29K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
447 |
402 |
$8K |
| V2100 |
Lens spher single plano 4.00 |
238 |
210 |
$4K |
| V2750 |
Anti-reflective coating |
25 |
25 |
$197.00 |
| V2784 |
Lens polycarb or equal |
14 |
14 |
$184.00 |