WAL-MART STORES EAST, LP.
NPI: 1114794278
· WALLINGFORD, CT 06492
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
166 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
154 |
140 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
12 |
12 |
$240.00 |