WAL-MART STORES EAST, LP
NPI: 1134233042
· RIVERHEAD, NY 11901
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
53 |
$952.00 |
| 2022 |
85 |
$4K |
| 2023 |
76 |
$4K |
| 2024 |
123 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
245 |
244 |
$16K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
15 |
15 |
$358.00 |
| V2750 |
Anti-reflective coating |
77 |
77 |
$0.00 |