WAL-MART STORES EAST, LP
NPI: 1134202385
· PASCAGOULA, MS 39581
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
327 |
$5K |
| 2019 |
473 |
$9K |
| 2020 |
14 |
$315.15 |
| 2021 |
16 |
$467.00 |
| 2022 |
15 |
$370.50 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
546 |
506 |
$10K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
299 |
289 |
$5K |