WAL-MART STORES EAST, LP
NPI: 1144301755
· DUMFRIES, VA 22026
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
421 |
$24K |
| 2019 |
225 |
$10K |
| 2022 |
42 |
$892.00 |
| 2023 |
12 |
$194.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Lens spher single plano 4.00 |
296 |
296 |
$26K |
| V2020 |
Vision svcs frames purchases |
377 |
375 |
$9K |
| V2750 |
Anti-reflective coating |
27 |
27 |
$624.00 |