WAL-MART STORES EAST, LP
NPI: 1124100284
· OWINGS MILLS, MD 21117
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
687 |
$12K |
| 2021 |
567 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
716 |
653 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
384 |
338 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
141 |
131 |
$2K |
| V2750 |
Anti-reflective coating |
13 |
12 |
$0.00 |