WAL-MART STORES EAST, LP
NPI: 1154413706
· MARIANNA, FL 32448
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
32 |
$314.00 |
| 2024 |
63 |
$715.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
75 |
41 |
$819.00 |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
20 |
12 |
$210.00 |