WAL-MART STORES EAST, LP
NPI: 1144303066
· OLIVE BRANCH, MS 38654
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
223 |
$3K |
| 2019 |
217 |
$4K |
| 2020 |
98 |
$2K |
| 2021 |
221 |
$5K |
| 2022 |
401 |
$9K |
| 2023 |
194 |
$3K |
| 2024 |
158 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,074 |
998 |
$20K |
| V2100 |
Lens spher single plano 4.00 |
195 |
185 |
$4K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
231 |
217 |
$4K |
| V2750 |
Anti-reflective coating |
12 |
12 |
$74.00 |