WAL-MART STORES EAST, LP
NPI: 1184704793
· OREGON, OH 43616
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
696 |
$11K |
| 2019 |
144 |
$2K |
| 2020 |
289 |
$5K |
| 2021 |
689 |
$13K |
| 2022 |
806 |
$15K |
| 2023 |
57 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylindr 4.00d/12-2.00d |
726 |
714 |
$18K |
| V2020 |
Vision svcs frames purchases |
1,459 |
1,443 |
$16K |
| V2784 |
Lens polycarb or equal |
441 |
431 |
$12K |
| V2100 |
Lens spher single plano 4.00 |
42 |
42 |
$838.66 |
| V2203 |
Lens sphcyl bifocal 4.00d/.1 |
13 |
13 |
$550.00 |