WAL-MART STORES EAST, LP
NPI: 1174605638
· CLINTON, MD 20735
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
273 |
$8K |
| 2022 |
240 |
$8K |
| 2023 |
88 |
$3K |
| 2024 |
99 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
517 |
508 |
$19K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
145 |
144 |
$3K |
| V2100 |
Lens spher single plano 4.00 |
12 |
12 |
$333.50 |
| V2750 |
Anti-reflective coating |
26 |
26 |
$0.00 |