WAL-MART STORES EAST, LP
NPI: 1184716334
· SAINT CLAIRSVILLE, OH 43950
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$379.00 |
| 2019 |
58 |
$936.98 |
| 2020 |
45 |
$2K |
| 2021 |
399 |
$10K |
| 2022 |
525 |
$12K |
| 2023 |
617 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
878 |
865 |
$23K |
| V2100 |
Lens spher single plano 4.00 |
389 |
348 |
$9K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
130 |
128 |
$3K |
| V2784 |
Lens polycarb or equal |
160 |
160 |
$2K |
| V2025 |
Eyeglasses delux frames |
114 |
114 |
$30.00 |