WAL-MART STORES EAST, LP
NPI: 1114008018
· BOLIVAR, MO 65613
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
466 |
$5K |
| 2019 |
441 |
$5K |
| 2020 |
298 |
$4K |
| 2021 |
366 |
$5K |
| 2022 |
588 |
$10K |
| 2023 |
324 |
$8K |
| 2024 |
271 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,649 |
1,640 |
$33K |
| V2100 |
Lens spher single plano 4.00 |
613 |
607 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
452 |
450 |
$2K |
| V2781 |
Progressive lens per lens |
13 |
13 |
$43.50 |
| V2025 |
Eyeglasses delux frames |
27 |
27 |
$0.00 |