WAL-MART STORES EAST, LP
NPI: 1164503520
· BOWIE, MD 20716
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
84 |
$2K |
| 2021 |
233 |
$4K |
| 2022 |
230 |
$7K |
| 2023 |
342 |
$8K |
| 2024 |
182 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
756 |
723 |
$22K |
| V2100 |
Lens spher single plano 4.00 |
51 |
48 |
$1K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
73 |
69 |
$963.50 |
| V2750 |
Anti-reflective coating |
179 |
171 |
$316.00 |
| V2784 |
Lens polycarb or equal |
12 |
12 |
$189.00 |