WAL-MART STORES EAST, LP.
NPI: 1134996341
· WHITEHALL, PA 18052
· 332H00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
586 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
|
251 |
233 |
$10K |
| V2020 |
Vision svcs frames purchases |
162 |
125 |
$3K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
51 |
27 |
$2K |
| 92015 |
|
122 |
122 |
$0.00 |