WAL-MART STORES LOUISIANA, LLC
NPI: 1184702326
· THIBODAUX, LA 70301
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
55 |
$525.00 |
| 2021 |
328 |
$4K |
| 2022 |
427 |
$8K |
| 2023 |
415 |
$6K |
| 2024 |
259 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
1,114 |
952 |
$18K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
267 |
233 |
$5K |
| V2100 |
Lens spher single plano 4.00 |
28 |
24 |
$495.00 |
| V2750 |
Anti-reflective coating |
31 |
15 |
$125.00 |
| V2784 |
Lens polycarb or equal |
44 |
26 |
$59.00 |