WAL-MART STORES EAST, LP
NPI: 1144308388
· BROOKHAVEN, MS 39601
· Optician
· NPI assigned 11/02/2006
$100K
Total Medicaid Paid
Provider Details
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 11/02/2006 |
Related Entities
Other providers sharing the same authorized official: EPPERSON, LINDA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
745 |
$12K |
| 2019 |
892 |
$14K |
| 2020 |
524 |
$9K |
| 2021 |
827 |
$17K |
| 2022 |
1,195 |
$23K |
| 2023 |
867 |
$16K |
| 2024 |
522 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| V2020 |
Frames, purchases |
3,024 |
2,829 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,482 |
1,377 |
$27K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,005 |
971 |
$22K |
| V2781 |
Progressive lens, per lens |
61 |
57 |
$0.00 |